A MODIFIED TENSION BAND WIRING TECHNIQUE FOR TREATMENT OF THE BONY MALLET FINGER

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 235-242 ◽  
Author(s):  
Ryosuke Kakinoki ◽  
Soichi Ohta ◽  
Takashi Noguchi ◽  
Yukitoshi Kaizawa ◽  
Hiromu Itoh ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Surgical Intervention ◽  
Articular Surface ◽  
Steel Wire ◽  
Distal Phalanx ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Stainless Steel Wire ◽  
Mallet Finger ◽  
Fracture Fragment

Purpose: To report the outcomes of mallet fractures treated with our modified tension band wiring technique. Methods: Eleven men and two women (mean age; 33 years) with mallet fractures in which happened more than five weeks before surgery, or with fracture fragments involving more than 2/3 or less than 1/3 of the distal phalanx articular surface or with previous surgical intervention, were subjected to this study. The fracture fragment was fixed with a modified tension band wiring technique using a stainless steel wire and an injection needle. Results: All patients achieved bone union in nine weeks in average. All patients had no pain except one with mild pain. No patient showed a gap or step-off greater than 1 mm. Conclusions: Our tension band wiring technique can be used regardless of the size of the dorsal fracture fragment or the interval between injury and surgery.

Modification of tension band wiring of displaced intra-articular phalangeal fractures

1996 ◽  
Vol 4 (3) ◽  
pp. 1-3
Author(s):  
Margaret Pugh ◽  
Robert S Richards
Keyword(s):  
Stainless Steel ◽  
Internal Fixation ◽  
Steel Wire ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Stainless Steel Wire ◽  
Percutaneous Pinning ◽  
Articular Fractures ◽  
Phalangeal Fractures

Numerous techniques have been described for internal fixation of displaced intra-articular fractures of the phalanges, including percutaneous pinning, microplating, interosseous wiring and tension banding techniques. One method, described by Rayhack and Bottke, is a modified tension banding method using a K-wire and a stainless steel wire. Although this technique has been found to be very useful, certain complications have led to the development of a modification of this technique.

Os acromiale fixation: a biomechanical comparison of polyethylene suture versus stainless steel wire tension band

2016 ◽  
Vol 25 (12) ◽  
pp. 2034-2039 ◽  
Author(s):  
Brian Shiu ◽  
Xuyang Song ◽  
Abigail Iacangelo ◽  
Hyunchul Kim ◽  
Ehsan Jazini ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Steel Wire ◽  
Tension Band ◽  
Stainless Steel Wire ◽  
Wire Tension ◽  
Os Acromiale ◽  
Biomechanical Comparison

scholarly journals Comparing the Knotless Tension Band and the Traditional Stainless Steel Wire Tension Band Fixation for Medial Malleolus Fractures: A Retrospective Clinical Study

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Michael W. Downey ◽  
Kyle Duncan ◽  
Victor Kosmopoulos ◽  
Travis A. Motley ◽  
Brian B. Carpenter ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Steel Wire ◽  
Tension Band ◽  
Hardware Removal ◽  
Stainless Steel Wire ◽  
Medial Malleolus ◽  
Avulsion Fractures ◽  
Wire Tension ◽  
True Cost ◽  
Retrospective Clinical Study

The traditional stainless steel wire tension band (WTB) has been popularized for small avulsion fractures at the medial malleolus. Despite the tension band principle creating a stable construct, complications continue to arise utilizing the traditional stainless steel WTB with patients experiencing hardware irritation at the tension band site and subsequent hardware removal. Coupled with hardware irritation is fatigue failure with the wire. The goal of this investigation was to retrospectively compare this traditional wire technique to an innovative knotless tension band (KTB) technique in order to decrease costly complications. A total of 107 patients were reviewed with a minimum follow-up of 1 year. Outcome measures include descriptive data, fracture classification, results through economic costs, and fixation results (including hardware status, healing status, pain status, and time to healing). The KTB group had a 13% lower true cost as compared to the WTB group while the fixation results were equivocal for the measured outcomes. Our results demonstrate that the innovative KTB is comparable to the traditional WTB while offering a lower true cost, an irritation free reduction all without the frustration of returning to the operating room for additional hardware removal, which averages approximately to $8,288.

FiberWire® is superior in strength to stainless steel wire for tension band fixation of transverse patellar fractures

Injury ◽  
2009 ◽  
Vol 40 (11) ◽  
pp. 1200-1203 ◽  
Author(s):  
P.B. Wright ◽  
V. Kosmopoulos ◽  
R.E. Coté ◽  
T.J. Tayag ◽  
A.D. Nana
Keyword(s):  
Stainless Steel ◽  
Steel Wire ◽  
Tension Band ◽  
Stainless Steel Wire ◽  
Patellar Fractures

Does prestretching stainless-steel wire have any clinical significance?

1991 ◽  
Vol 49 (10) ◽  
pp. 1074-1078
Author(s):  
Richard H. Haug ◽  
Jon P. Bradrick ◽  
Marilyn Su
Keyword(s):  
Stainless Steel ◽  
Clinical Significance ◽  
Steel Wire ◽  
Stainless Steel Wire

Bending Properties of General Purpose Stainless Steel Wire Formed for Orthodontic Use

2013 ◽  
Vol 746 ◽  
pp. 394-399
Author(s):  
Niwat Anuwongnukroh ◽  
Yosdhorn Chuankrerkkul ◽  
Surachai Dechkunakorn ◽  
Pornkiat Churnjitapirom ◽  
Theeralaksna Suddhasthira
Keyword(s):  
Mechanical Properties ◽  
Stainless Steel ◽  
Orthodontic Treatment ◽  
Steel Wire ◽  
General Purpose ◽  
Stainless Steel Wire ◽  
Bending Test ◽  
Bending Properties ◽  
Steel Wires ◽  
Significant Difference

The archwire is generally used in fixed appliances for orthodontic treatment to correct dental malocclusion. However, it is interesting to know whether general purpose stainless steel wire could replace commercial orthodontic archwire in orthodontic practice for economic reasons. The purpose of this study was to determine the bending properties of general purpose stainless steel wire compared with commercial orthodontic stainless steel wires after forming as an archwire for orthodontic use. The samples used in this study were 90 general purpose and 45 commercial (Highland) round stainless steel wires in 0.016, 0.018, and 0.020 sizes (30 general purpose and 15 commercial wires for each size). All 15 general purpose stainless steel wires with different sizes were formed into orthodontic archwire with a Universal Testing Machine. All samples were tested (three-point bending test) for mechanical properties. The results showed no significant difference between general purpose and commercial orthodontic wires in size 0.016 for 0.1 mm offset bending force, 0.2% yield strength, and springback. Although many mechanical properties of general purpose wires differed from commercial wires, their values conformed to other previous studies within the range of clinical acceptance. In conclusion, orthodontic formed general purpose round stainless steel wires had statistically different (p <0.05) mechanical properties from commercial orthodontic stainless steel wires (Highland) but the mechanical properties were acceptable to use in orthodontic treatment.

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