Tension Band Wiring of Unstable Transverse Fractures of the Proximal and Middle Phalanges of the Hand

2004 ◽  
Vol 29 (2) ◽  
pp. 130-134 ◽  
Author(s):  
O. PEHLIVAN ◽  
A. KIRAL ◽  
C. SOLAKOGLU ◽  
I. AKMAZ ◽  
H. KAPLAN
Keyword(s):  
Functional Outcomes ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Fracture Line ◽  
Kirschner Wires ◽  
Shaft Fractures ◽  
Transverse Fractures

Twenty-three isolated, unstable and closed transverse middle and proximal phalangeal shaft fractures in 23 patients were treated by tension band wiring. The tension band was applied with two transverse Kirschner wires that did not cross the fracture line. All of the fractures united and achieved satisfactory functional outcomes. No patient required either physiotherapy or tenolysis or capsulotomy surgery.

Functional Outcomes Following Plating or Tension Band Wiring of Olecranon Fractures

2003 ◽  
Vol 29 (5) ◽  
pp. 273-277 ◽  
Author(s):  
Nadim Aslam ◽  
Sunil Nair ◽  
George Ampat ◽  
Keith Willett
Keyword(s):  
Functional Outcomes ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fractures

scholarly journals Management of displaced transverse fractures of the patella using tension band wiring with or without circumferential cerclage wiring: A comparative study

2019 ◽  
Vol 7 (5) ◽  
pp. 1752
Author(s):  
Zubair A. Lone ◽  
John Mohd ◽  
John Mohd ◽  
Imtiyaz A. Beigh ◽  
Imtiyaz A. Beigh ◽  
...  
Keyword(s):  
Tension Band ◽  
Tension Band Wiring ◽  
P Value ◽  
Fixation Failure ◽  
Non Union ◽  
Recommended Treatment ◽  
Cerclage Wiring ◽  
Group 2 ◽  
Transverse Fractures ◽  
Group 1

Background: Transverse fractures of body of the patella are by far the most common fractures of this bone. Surgical fixation is the recommended treatment in displaced fractures with extensor lag. Although, tension band wiring (TBW) technique is the gold standard for these fractures, few surgeons recommend augmentation with circumferential cerclage wiring to improve the strength of the fixation. We compared the results of the internal fixation of displaced transverse fractures of the patella using TBW and circumferential cerclage wiring with those treated with TBW alone. Methods: We treated 54 displaced transverse fractures of the patella at our institution. We segregated the patients into two groups: Group 1 (n=23) included fractures treated with tension band wiring (TBW) along with augmented circumferential cerclage wiring while as Group 2 (n=31) included fractures treated by TBW alone. Outcome was studied, graded and compared on the basis of knee pain, knee stiffness, quadriceps wasting, loss of flexion and loss of extension. Results: 73.90% patients among group 1 and 70.96% among group 2 showed excellent to good results (P value < 0.1). Fixation failure and need for revision surgery among group 1 and group 2 was found to be 8.69% and 9.67%, respectively (P value < 0.6). Infections and non union occurred among 4.34% patients in group 1 whereas in group 2 it was 6.45% of the patients who encountered the same (P value < 0.6). Conclusions: The use of circumferential cerclage wiring along with tension band wiring for displaced transverse fractures of patella seems to have no added advantage over fixation with tension band wiring alone.Keywords: Patella fracture, Tension band wiring, cerclage wiring 

Tension Band Wiring for Olecranon Fractures: Relative Stability of Kirschner Wires in Various Configurations

2010 ◽  
Vol 68 (1) ◽  
pp. 173-176 ◽  
Author(s):  
Tsan-Wen Huang ◽  
Chi-Chuan Wu ◽  
Kuo-Feng Fan ◽  
I-Chuan Tseng ◽  
Po-Cheng Lee ◽  
...  
Keyword(s):  
Relative Stability ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Kirschner Wires ◽  
Olecranon Fractures

Use of Kirschner Wires With Eyelets for Tension Band Wiring of Olecranon Fractures

2013 ◽  
Vol 38 (9) ◽  
pp. 1762-1767 ◽  
Author(s):  
Jin Young Kim ◽  
Young Ho Lee ◽  
Hyun Sik Gong ◽  
Sang Lim Lee ◽  
Sang Ki Lee ◽  
...  
Keyword(s):  
Tension Band ◽  
Tension Band Wiring ◽  
Kirschner Wires ◽  
Olecranon Fractures

scholarly journals Tension Band Wiring for Fracture Patella Outcome with 3 K Wire versus 2 K Wire

2021 ◽  
Vol 07 (1&2) ◽  
pp. 7-10
Author(s):  
Sudip Deb ◽  
Keyword(s):  
Kirschner Wire ◽  
Small Sample ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Knee Score ◽  
Kirschner Wires ◽  
Pain Status ◽  
Lysholm Knee Score ◽  
The Mean ◽  
Working Status

Introduction: Fractures of the patella constitute almost 1% of all skeletal injuries, resulting from either direct or indirect trauma. Many forms of internal fixation for patellar fractures have been described in the literature but perfect anatomical reduction during surgery has an excellent outcome irrespective of the method of fixation used. The conventional method of patellar tension band wiring is always done with the help of two parallel Kirschner wires. Here, in our study, we intended to see whether the use of 3 parallel Kirschner wires in comparison to conventional one results in a superior functional outcome. Methods: A prospective observational study was carried out in ANIIMS and GB Pant hospital Port Blair from November 2016 to November 2019 on 44 patients of patellar fracture operated by tension band wiring with 22 patients in 2 parallel Kirschner wires and 3 parallel Kirschner wires groups respectively. Results: 44 patients were followed up postoperatively for 1 year and assessed by Lysholm knee score for pain status and working status and other variables. The mean age of the participants was 40.27 years (41.86 in two Kirschner wire group and 38.68 in three Kirschner wire group) in our study. Lysholm knee score, pain status, or working status was not significant throughout the mean follow-up periods for both groups. Conclusions: We found no significant difference between patellar TBW in 3 Kirschner wire and 2 Kirschner wire groups. However small sample size limits our study.

BIOMECHANICAL ASSESSMENT OF TENSION-BAND WIRING FOR OLECRANON FRACTURES

2011 ◽  
Vol 23 (01) ◽  
pp. 83-87 ◽  
Author(s):  
Chien-Chung Kuo ◽  
Horng-Chaung Hsu ◽  
Shih-Wun Hong ◽  
Tung-Wu Lu
Keyword(s):  
Migration Rate ◽  
Kirschner Wire ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Union Rate ◽  
Kirschner Wires ◽  
Biomechanical Assessment ◽  
K Wires ◽  
Radiographic Union ◽  
Olecranon Fractures

Tension-band wiring is the preferred method of treatment for olecranon fractures and is widely used throughout the world. This technique simply and effectively transforms the forces produced by the pulling of the triceps into forces causing compression of the fracture. Although the procedure is associated with a high union rate, the incidence of skin complications is also high. The most frequent complication is symptomatic prominence of the Kirschner wires (K-wires). The purpose of this retrospective study was to identify the optimal fixation of tension-band wiring in the treatment of olecranon fractures using biomechanical techniques. Sixty-two patients were divided into two groups: a bicortical Kirschner wire group and an intramedullary K-wire group. The migration rate of the K-wires and the union rate of fractured bone were measured in both groups. Achievement of radiographic union was similar in the two groups. However, the K-wire migration rate was higher in the intramedullary K-wire group than in the bicortical K-wire group. With appropriate surgical technique, the use of bicortical K-wires is biomechanically superior to the use of intramedullary K-wires in the treatment of olecranon fractures.

scholarly journals Clinico-radiological and functional outcome of Mayo type IIA olecranon fractures managed with tension band wiring in a tertiary care centre in North India

2021 ◽  
Author(s):  
Pankaj Spolia ◽  
Abdul Ghani ◽  
Sakib Arfee
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Road Traffic ◽  
Tertiary Care ◽  
Tension Band ◽  
Tension Band Wiring ◽  
North India ◽  
Tertiary Care Centre ◽  
Transverse Fractures ◽  
Olecranon Fractures

<p class="abstract"><strong>Background: </strong>Tension band wiring is the most common operative technique for the internal fixation of olecranon fractures. Stable internal fixation with figure of eight tension band wiring used for simple transverse fractures allows early range of motion, minimize stiffness and gives good results. The aim of this study is to evaluate the functional outcome of simple transverse fractures managed by tension band wiring.</p><p class="abstract"><strong>Methods:</strong> This was an observational prospective study of 24 patients with Mayo type IIA fractures aged between 18 to 65 years, with mean age of 42.5 years treated by tension band wiring. Functional outcome was assessed with Mayo Elbow Performance Score (MEPS) and Visual Analogue Scale (VAS) subjective pain score.</p><p class="abstract"><strong>Results: </strong>Our study was conducted on 24 patients with Mayo type IIA, out of which 16 were males and 8 were females. Most common mode of injury was fall from standing height (75%), followed by road traffic accident (16.7%) and assault (8.3%). The age range was between 18 to 65 years, with mean age of 42.5 years.</p><p class="abstract"><strong>Conclusions:</strong> Tension band wiring is an effective method for the treatment of transverse, non-comminuted and unstable fractures of the olecranon which provides stable fixation, early rehabilitation and gives excellent results when done in expert hands.</p>

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