Multiply Broken Metallic Hardware Removal for United Patella Fracture Applied Twenty Years Before: A Case Report

Authors

  • Kapil Mani K.C. Civil Service Hospital, New Baneshwor, Kathmandu, Nepal
  • Parimal Acharya Civil Service Hospital, Minbhawan, Kathmandu, Nepal
  • Bandhu Ram Pangeni Civil Service Hospital, Minbhawan, Kathmandu, Nepal
  • Ankit Niroula Civil Service Hospital, Minbhawan, Kathmandu, Nepal
  • Amuda KC Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.5625

Keywords:

broken wires, cerclage wires, migration, patella fracture, tension band wiring

Abstract

Breakage of tension band wires, used to treat the patella fracture, is not uncommon several years after the fracture fixation. Broken wires may migrate to surrounding neurovascular structures, other vital organs like heart and may cause potentially fatal complications. Once the wires have been broken, it is very difficult to remove the broken pieces of metal wires. We report a 50 years old male patient with broken tension band wires at multiple sites for patella fracture. The broken wires were removed 20 years after the initial surgery without any undue complications, however patient sustained significant soft tissue damage to remove all the pieces of broken wires that would otherwise have been removed without any undue complications immediately after fracture union.

Downloads

Published

2020-11-22

How to Cite

K.C., K. M., Acharya, P., Pangeni, B. R., Niroula, A., & KC, A. (2020). Multiply Broken Metallic Hardware Removal for United Patella Fracture Applied Twenty Years Before: A Case Report. Journal of Nepal Medical Association, 58(231), 951–953. https://doi.org/10.31729/jnma.5625

Issue

Vol. 58 No. 231 (2020): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2020 Kapil Mani K.C., Parimal Acharya, Bandhu Ram Pangeni, Amuda KC

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.

Most read articles by the same author(s)