Tension Band Wiring of Displaced Tibial Tuberosity Fractures in Adolescents

1986 ◽  
Vol &NA; (209) ◽  
pp. 161???165 ◽  
Author(s):  
DONALD R. POLAKOFF ◽  
ROBERT W. BUCHOLZ ◽  
JOHN A. OGDEN
Keyword(s):  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring

Tibial tuberosity transposition-advancement for lateralization of the tibial tuberosity: An ex vivo canine study

2014 ◽  
Vol 27 (04) ◽  
pp. 271-276 ◽  
Author(s):  
N. Bertollo ◽  
W. Walsh ◽  
K. Voss ◽  
M. Newman
Keyword(s):  
Computed Tomography ◽  
Cyclic Loading ◽  
Tibial Plateau ◽  
Ex Vivo ◽  
Peak Load ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Load To Failure ◽  
Canine Study

SummaryObjectives: To evaluate the degree of lateralization achievable and strength of tibial tuberosity transposition and advancement (TTTA) relative to pin and tension band wiring (PTBW) for lateral tibial tuberosity transposition.Methods: Six pairs of cadaveric tibiae were used. Tibial tuberosity position was determined with computed tomography (CT); bones were then randomly assigned into TTTA and PTBW groups. The PTBW group had a tibial tuberosity osteotomy and fixation with pin and tension band wiring. The TTTA group had a tibial tuberosity advancement performed with lateralization of the tibial tuberosity by 50% of cage depth, using spacers on the cranial cage screw. Postoperative CT images showed lateralization and craniocaudal deviation. Single axial distractive loading was applied to the patella at 90° to the tibial plateau, and peak load, energy, and stiffness were calculated.Results: There were significant differences in lateralization (PTBW: 67.92 ± 5.1 %; TTTA: 88.51 ± 5.5 %) (p = 0.0173) and craniocaudal deviation (PTBW: –8.30 ± 1.4 %; TTTA: 6.83 ± 0.6) (p = 0.0001). There were no significant differences in peak load to failure (N) (PTBW: 1448 ± 121; TTTA: 1597 ± 43) (p = 0.4541), energy to failure (N/mm) (PTBW: 15013 ± 2719; TTTA: 17314 ± 887) (p = 0.646), or stiffness (N/mm)(PTBW: 102.8 ± 4.7; TTTA: 92.9 ± 4.8) (p = 0.2716).Clinical significance: The TTTA was more effective at lateralization of the tibial tuberosity, and of comparable strength to PTBW. Greater support of the osteotomized fragment with TTTA may resist cyclic loading, and requires evaluation.

Avulsion fractures of the tibial tuberosity in adolescents treated by tension band wiring

1993 ◽  
Vol 3 (3) ◽  
pp. 247-250
Author(s):  
P. Nikiforidis ◽  
G. Ch. Babis ◽  
J. Galouzis ◽  
Th. Pantazopoulos
Keyword(s):  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Avulsion Fractures

scholarly journals Patellar Tendon Avulsion with Tibial Tuberosity Sleeve Fragment

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Akira Isaka ◽  
Satoshi Ichihara ◽  
Yasuhiro Homma ◽  
Tomohiko Hirose ◽  
Hajime Kajihara
Keyword(s):  
Pediatric Patient ◽  
Patellar Tendon ◽  
Suture Anchor ◽  
Optimal Treatment ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patient Diagnosis ◽  
Tendon Avulsion

Rupture of the patellar tendon is relatively rare. We report a case of patellar tendon avulsion with a tibial tuberosity sleeve fragment in pediatric patient. In pediatric patient, diagnosis is sometimes difficult due to uncompleted ossification. In the present case, which involved the presence of a small fleck of bone from tibia, we were able to attain a diagnosis using the Koshino-Sugimoto index and MRI and easily determine the optimal treatment with the use of the suture anchor and tension band wiring method.

scholarly journals Stress avulsion of the tibial tuberosity after tension band wiring of a patellar fracture: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Michael T Hirschmann ◽  
Björn Wind ◽  
Christian Mauch ◽  
Gesa Ickler ◽  
Niklaus F Friederich
Keyword(s):  
Case Report ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Patellar Fracture

Avulsion fractures of the tibial tuberosity in adolescent athletes treated by internal fixation and tension band wiring

2003 ◽  
Vol 12 (4) ◽  
Author(s):  
PanayiotisA. Nikiforidis ◽  
GeorgeC. Babis ◽  
IoannisK. Triantafillopoulos ◽  
GeorgeS. Themistocleous ◽  
Konstantinos Nikolopoulos
Keyword(s):  
Internal Fixation ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Adolescent Athletes ◽  
Avulsion Fractures

scholarly journals Comparison of tension band wiring and other tibial tuberosity advancement techniques for cranial cruciate ligament repair: an experimental study

2019 ◽  
Vol 61 (1) ◽  
Author(s):  
William McCartney ◽  
Ciprian Ober ◽  
Maria Benito ◽  
Bryan MacDonald
Keyword(s):  
Tibial Plateau ◽  
Cruciate Ligament ◽  
Surgical Techniques ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Tension Band Wiring ◽  
The Other ◽  
Cranial Cruciate Ligament ◽  
Surgical Methods

Abstract Background Cranial cruciate ligament (CCL) rupture is one of the most common causes of limb lameness in dogs. Surgical techniques based on tibial osteotomies such as tibial plateau leveling osteotomy and tibial tuberosity advancement are used to eliminate dynamic thrust. Tibial tuberosity advancement (TTA) uses an osteotomy fixated by cage, plates, forks and screws to change the relationship of the patellar tendon and tibial plateau angle. Tension band wiring technique is one of the most common surgical methods used to treat a tension fracture and remains the gold standard for the treatment of tibial tuberosity fractures. In this study, we compared experimentally the biomechanical effect of application of tension band wiring compared to other techniques for the fixation of the TTA osteotomy. The techniques compared to are standard commercially available systems for TTA fixation. Results Tension band wiring (TBW) presented the higher resistance to failure compared to all the other surgical procedures, with the highest values found in the TBW group with 1.47 ± 0.07 N and the lowest in the TTA cage (0.82 ± 0.08) and TTA-2 (0.85 ± 0.06) groups with statistically significant differences in all cases (P < 0.001). TTA rapid and TTA plate groups exhibited a similar strength, and same happened between TTA-2 and TTA cage groups. All the other comparisons by pair were significantly different with P < 0.001. Conclusions Results suggest that fixating the osteotomy with tension band wiring increases the strength of the fixation and decrease the risk of implant failure. Further clinical studies are needed to demonstrate in vivo reliability and to test different variables such as size and weight of dogs. These results could have important clinical implications in the treatment of CCL ruptures.

scholarly journals Complications and re-operations related to tension band wiring and plate osteosynthesis of olecranon fractures

2021 ◽  
Author(s):  
Ida K. Rantalaiho ◽  
Inari E. Laaksonen ◽  
Anssi J. Ryösä ◽  
Katariina Perkonoja ◽  
Kari J. Isotalo ◽  
...  
Keyword(s):  
Plate Osteosynthesis ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fractures

Tibial Tuberosity Transposition Fixation with a Locking Plate during Medial Patellar Luxation Surgery: An Ex Vivo Mechanical Study

2021 ◽  
Author(s):  
Esa V. Eskelinen ◽  
Ari P. Suhonen ◽  
Juha V. Virolainen ◽  
William D. Liska
Keyword(s):  
Phase I ◽  
Phase Ii ◽  
Locking Plate ◽  
Ex Vivo ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Patellar Ligament ◽  
Raccoon Dog ◽  
Tension Band Wire ◽  
Lower Load

Abstract Objectives The purpose of this study was to compare the load at failure, stiffness and mode of failure between three types of tibial tuberosity transposition fixation techniques: (a) pin and figure-8 tension band wire (Pin-TBW), (b) locking plate with pin and a tension band wire (Plate-Pin-TBW) and (c) locking plate with a pin (Plate-Pin). Methods Six pairs of raccoon dog cadaveric tibiae were tested in Phase I Pin-TBW versus Plate-Pin-TBW and seven pairs in Phase II Plate-Pin-TBW versus Plate-Pin. One limb of each pair was randomly assigned to one of two groups for each phase. A tensile force was applied to the patellar ligament until construct failure. Results Pin-TBW (342N ± 54.7N) failed at a lower load than Plate-Pin-TBW (469N ± 77.3N), p = 0.00748, with all Pin-TBW failing by fracture and the majority of Plate-Pin-TBW failing by rupture of patellar ligament. Pin-TBW group Phase I, normalized with Plate-Pin-TBW Phase I, failed at a lower load than Plate-Pin group Phase II, normalized with Plate-Pin-TBW Phase II, p = 0.00467. There was no significant difference in mean load at failure, stiffness or mode at failure between the groups in the Phase II study. Clinical Significance Although ex vivo mechanical testing does not replicate the postoperative live dog or cat, these results demonstrate lower construct strength of the Pin-TBW construct compared with the Plate-Pin construct in the raccoon dog cadaver model.

Sign in / Sign up

Export Citation Format

Share Document