Modification of tension band wiring of displaced intra-articular 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.

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

Hand Surgery ◽

10.1142/s0218810413500299 ◽

2013 ◽

Vol 18 (02) ◽

pp. 235-242 ◽

Cited By ~ 12

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.

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Tension-band wiring of transverse fractures of patella. The effect of site of wire twists and orientation of stainless steel wire loop: a biomechanical investigation

International Orthopaedics ◽

10.1007/s00264-006-0238-0 ◽

2006 ◽

Vol 31 (5) ◽

pp. 703-707 ◽

Cited By ~ 33

Author(s):

J. John ◽

W. W. Wagner ◽

J. H. Kuiper

Keyword(s):

Stainless Steel ◽

Steel Wire ◽

Tension Band ◽

Tension Band Wiring ◽

Stainless Steel Wire ◽

Wire Loop ◽

Biomechanical Investigation ◽

Transverse Fractures

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Comparative study of tension band wiring and pre contoured locking compression plate fixation in olecranon fractures in adults

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211932 ◽

2021 ◽

Author(s):

Mohit Mahoviya ◽

Pradeep Choudhari ◽

Divyanshu Patel ◽

Arpit Choyal

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

Plate Fixation ◽

Tension Band ◽

Tension Band Wiring ◽

Improvement Rate ◽

Articular Fractures ◽

Group A ◽

Group B ◽

Olecranon Fractures

Background: Olecranon fractures are about 10% of all proximal forearm fractures.Mostly intra articular fractures, require anatomical reduction and internal fixation for satisfactory clinical outcomes. The most commonly used techniques are still tension band wiring (TBW) and plate fixation (PF). The aim of the current study is to discuss whether TBW or PF technique of internal fixation is better in the treatment of olecranon fractures.Methods: This is a comparative study including 30 adult patients of olecranon fracture classified by Mayo classification and operated upon by tension band plating (group A) and tension band wiring (group B) at Department of Orthopaedics, Sri Aurobindo Medical College and PG Institute, Indore. All operated cases between the period of January 2018 to August 2019 with follow up of 1 year were assessed on the basis of functional outcome using Mayo elbow performance score (MEPS).Results: The MEPS, 73% of the patients in group A achieved a good to excellent results in comparison to 60% in group B. no significant differences between the two groups could be detected regarding the clinical and radiographic outcome.Conclusions: Both TBW and PF interventions had treatment benefit in OFs. The current study reveals that there are no significant differences in MEPS, improvement rate and ROM between TBW and PF for OFs. More high-quality studies are required to further confirm our results as most of the cases included in study belonged to Mayo type IIA category.

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

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2016.04.028 ◽

2016 ◽

Vol 25 (12) ◽

pp. 2034-2039 ◽

Cited By ~ 5

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

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Fracture of Lateral end of Clavicle with Coracoclavicular Ligament Rupture Treated with Coracoclavicular Screw and Stainless Steel Wire - A Series of Eleven Cases

Health Renaissance ◽

10.3126/hren.v8i3.4206 ◽

1970 ◽

Vol 8 (3) ◽

pp. 147-151

Author(s):

Pashupati Chaudhary ◽

N Karn ◽

BP Shrestha ◽

GP Khanal ◽

R Rijal ◽

...

Keyword(s):

Stainless Steel ◽

Internal Fixation ◽

Open Reduction ◽

Steel Wire ◽

Clavicle Fracture ◽

Case Series ◽

Stainless Steel Wire ◽

Common Mechanism ◽

Distal Clavicle Fracture ◽

Case Series Study

Background: Various treatment options have been described in the literature for treatment of lateral end of clavicle with no single method is superior to another. Objectives: To assess fracture stabilty, pain at fracture site and functional outcome. Methods: This is retrospective interventional (case series) study done in the department of Orthopaedics at B.P.Koirala Institue of Health Sciences, Dharan from January 2007 to December 2009 over a period of 2 years.The study enrolled 11 patients aged 18-35 years who had presented with fracture lateral end of clavicle. All patients underwent open reduction and internal fixation of fractures with coracoclavicular screw and stainless steel wire. Results: The study was comprised of 8 men and 3 women. Average patient.s age was mean ±SD 27.2 years (range: 18-35 years). The common mechanism of injury was a fall on outstretched hand with the shoulder in extension and abduction (6 patients) followded by direct violence (5 patients). Most of the patients were right handed. All patients were returned to the pre-injury work level with no pain or dysfunction. There was no pseudoarthrosis, infection, neurovascular damage, or skin necrosis or implant failure. Conclusion: Coracoclavicular screw/ SS wire fixation is a relatively simple, reliable, and safe technique of indirect open reduction and internal fixation of the type II distal clavicle fracture with a low complication rate. Key words: clavicle; coracoclavicular screw; steinless steel wire DOI: 10.3126/hren.v8i3.4206Health Renaissance, September-December 2010; Vol 8 (No.3);147-151

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

Scientifica ◽

10.1155/2016/3201678 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 2

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.

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