# Modified Tension Band Wiring Technique for Patella Fractures: A Case Report

## TL;DR

A modified surgical technique for patella fractures is presented, showing improved stability and recovery without complications.

## Contribution

A modified tension band wiring technique with triple-bundle wire stitching is introduced to enhance stability and reduce complications.

## Key findings

- The modified TBW technique achieved fracture union and excellent knee function in a patient at three months.
- Early functional recovery was observed without implant-related complications.
- The technique shows potential for broader clinical application.

## Abstract

Patellar fractures are common injuries that compromise the extensor mechanism of the knee. Tension band wiring (TBW) is a widely accepted surgical technique for simple mid-pole fractures, but is associated with complications like wire migration and breakage. This case report presents a modified TBW technique designed to improve biomechanical stability and reduce complications. A 51-year-old female patient presented with right knee pain and swelling following a fall. Radiographs confirmed a transverse patella fracture. Surgical fixation was performed using a modified TBW technique involving triple-bundle wire stitching to enhance stability and prevent migration. Postoperative rehabilitation included early mobilization with continuous passive motion and gradual weight-bearing. Follow-up at three months demonstrated fracture union and excellent knee function without complications. The modified TBW technique demonstrated stability and allowed early functional recovery without implant-related complications. This technique may be considered for broader clinical application.