scholarly journals Results of tension band wiring in intra-articular collateral ligament avulsion fractures of the phalanx

2018 ◽  
Vol 6 (2) ◽  
pp. 74-77
Author(s):  
Rajeev Raj Manandhar ◽  
Shishir Lakhey ◽  
Umash Karki
Keyword(s):  
Functional Outcome ◽  
Soft Tissues ◽  
Proximal Phalanx ◽  
Ring Finger ◽  
Ulnar Collateral Ligament ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Collateral Ligament ◽  
Avulsion Fractures ◽  
Radial Collateral Ligament

Background: Avulsion fractures of the base of proximal phalanx associated with ulnar or radial collateral ligament instability are relatively rare. The small size of the fragment and strong deforming pull of the attached soft tissues make the process of reduction and maintenance difficult.Objective: The purpose of this study was to assess the functional outcome of tension band wiring in intra-articular avulsion fractures of the base of the proximal phalanx.Methodology: A prospective study was performed on ten patients with intra-articular collateral ligament avulsion fractures of the proximal phalanx (Jupiter’s classification Type III). A tension band construct was performed using a dorsal approach. The functional outcome was assessed at six months with the quick Disability of Arm, Shoulder and Hand score.Results: The mean age of the patients was 25.8 years (Mean ± SD: 25.80). Six avulsion fractures were of the ulnar collateral ligament of the proximal phalanx of the index finger, one involved the radial collateral ligament of the ring finger and three, the radial collateral ligament of the little finger suggesting an abduction injury. All fractures had united at three months. Eight patients were graded as excellent and two as good. All patients were satisfied with the surgery and the functional outcome of the injured digit. There were no perioperative complications.Conclusion: The functional outcome of tension band wiring in intra-articular collateral ligament avulsion fractures of the base of the proximal phalanx was good to excellent.

Acute Skier's Thumb Repaired With a Proximal Phalanx Suture Anchor

1998 ◽  
Vol 26 (5) ◽  
pp. 644-650 ◽  
Author(s):  
Craig Zeman ◽  
Robert E. Hunter ◽  
John R. Freeman ◽  
Mark L. Purnell ◽  
Jackie Mastrangelo
Keyword(s):  
Functional Outcome ◽  
Suture Anchor ◽  
Surgical Repair ◽  
Proximal Phalanx ◽  
Ulnar Collateral Ligament ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Ligament Rupture ◽  
A New Technique ◽  
Postoperative Interval

The purpose of this study was to determine the functional outcome of a surgical technique for the repair of injuries of the ulnar collateral ligament of the thumb. A 14-point questionnaire was developed to determine functional outcome after surgical repair of acute ulnar collateral ligament rupture. Early ulnar collateral ligament repair was performed on 58 patients with grade III sprains (complete rupture) of the ligament using a new technique that employs a suture anchor for fixation. Forty-five patients were interviewed at a minimum postoperative interval of 12 months and were included in this study. Forty-four patients (98%) believed they had a stable repair, were satisfied with their surgery, and would have it again if necessary. Forty-four patients (98%) were not hindered in their day-to-day activities and had a functional range of motion. Mild discomfort was felt by eight of our patients (17%), but only three patients (7%) had pain with activities. The average time to return to skiing was 1.7 days. The use of a suture anchor provided a strong and stable repair if the surgery was performed early.

The Dorsal Carpal Ligaments: Their Anatomy and Function

1989 ◽  
Vol 14 (1) ◽  
pp. 91-98 ◽  
Author(s):  
T. Mizuseki ◽  
Y. Ikuta
Keyword(s):  
Soft Tissues ◽  
Ulnar Collateral Ligament ◽  
Discrete Structure ◽  
Collateral Ligament ◽  
Extensor Tendons ◽  
Radial Collateral Ligament ◽  
Ulnar Aspect ◽  
And Function ◽  
Carpal Ligaments

The dorsal carpal ligaments were studied in 50 embalmed wrists. The radial collateral ligament was thin and oblique. The distribution of the dorsal radio-carpal ligament varied and it was classified into four subtypes. Neither ulnar collateral ligament nor dorsal radio-nlnar ligament was isolated as a discrete structure: instead, there were confluent soft tissues on the dorso-ulnar aspect of the wrist. The dorsal radio-carpal ligament and the dorso-ulnar component of the triangular fibro-cartilage complex, as well as the fibrous septa and the extensor tendons, were found to be the most important stabilizers of the wrist dorsally.

scholarly journals Best technique for fixation of displaced transverse olecranon fractures: tension band wiring or plate fixation?

2020 ◽  
Vol 6 (5) ◽  
pp. 1012
Author(s):  
Lokesh Kumar Yogi ◽  
Gagandeep Mahi ◽  
C. R. Thorat ◽  
Moti Janardhan Naik
Keyword(s):  
Functional Outcome ◽  
Large Scale ◽  
Plate Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Clinical Event ◽  
Dash Score ◽  
Group A ◽  
Group B ◽  
Olecranon Fractures

<p><strong>Background:</strong> Fractures of olecranon are common fractures in upper limb. Tension band wiring (TBW) and plate fixation (PF) are mostly used techniques but choice is based on type of fracture and surgeon’s preference.</p><p><strong>Methods:</strong>  A study assessed functional results in 28 patients that were enrolled after the clinical event of trauma has occurred. Patients were divided into two groups- Group (A) for TBW and Group (B) for PF; here gender, age and side of fracture were ignored. Post-operative functional outcome were evaluated by using the Mayo Elbow Performance (MEP) and the Disabilities of the Arm, Shoulder and Hand (DASH) score parameters.</p><p><strong>Results:<em> </em></strong>Mean (SD) union time as determined by postoperative radiographs was 8.5 (1.48) weeks for group (A) and 9 (2.08) weeks for group (B). Mean (SD) MEP score at 9 months in group (A) 84.28 (7.28) and 80.71 (10.92) in group (B). Mean (SD) DASH at 9 months in group (A) 12.2 (8.8) and 11.7 (10.4) in group (B). Complications were reported in group (A) 6 patient (42.85%) out of 14 patients and in group (B) 1 patient (7.14%) out of 14 patients.</p><p><strong>Conclusions:<em> </em></strong>The current study shows that there are no significant differences in functional outcome between both the study groups. Due to lesser complications, we recommend the plate fixation approach as the better choice for transverse displaced olecranon fractures. More large scale studies are required to further confirm our results.</p>

Anatomical Basis for Arthroscopy of the Proximal Interphalangeal Joints

2018 ◽  
Vol 23 (03) ◽  
pp. 342-346 ◽  
Author(s):  
Hideki Okamoto ◽  
Isato Sekiya ◽  
Jun Mizutani ◽  
Nobuyuki Watanabe ◽  
Takanobu Otsuka
Keyword(s):  
Proximal Phalanx ◽  
Ring Finger ◽  
Invasive Technique ◽  
Collateral Ligaments ◽  
Collateral Ligament ◽  
Lateral Band ◽  
Dorsal Edge ◽  
Anatomical Basis ◽  
Pip Joint ◽  
The Right

Background: Arthroscopy is a widely used minimally invasive technique. Nevertheless, no report describes the arthroscopic anatomy of the proximal interphalangeal (PIP) joint for portal creation. To facilitate arthroscopy, this study elucidated the anatomy of the lateral bands of the extensor mechanism and collateral ligaments of PIP joints. Methods: A total of 39 fingers from the right hands of 10 cadavers (4 males, 6 females) were evaluated in this study. We defined the extension line from the proximal interphalangeal volar crease as the C-line. We also defined an imaginary line along the distal edge of the proximal phalanx, which is parallel to the C-line, as the J-line. The distance between J-line and C-line was measured. On the C-line and J-line, we measured the following: from the dorsal skin to the lateral edge of the lateral band (LB), the dorsal edge of the collateral ligament (CL) and from the lateral band and the collateral ligament (D), the width of the finger (W). The finger half-width (M) was measured on the J-line. Comparison between the digits and comparison between radial and ulnar distance were measured and statistical analysis was performed. Results: All PIP joint spaces were distal from the C-line, except for one ring finger. The average distances between the J-line and C-line were 1.8–3.2 mm. On the C-line, only 11 cases (14.1%) showed an interval between the lateral bands and the collateral ligaments, but, on the J-line 72, cases (92.3%) had such an interval. The interval was located 1.6–2.9 mm in a dorsal direction from the midlateral on the J-line. Conclusions: Portal creation at the J-line is safer than at the C-line. This study revealed that safe portals for arthroscopy of the PIP joint are 2 mm dorsal to the midlateral line of the finger on the J-line.

Modified Tension Band Wiring Fixation for Avulsion Fractures of the Calcaneus in Osteoporotic Bone: A Review of Three Patients

2012 ◽  
Vol 51 (3) ◽  
pp. 330-333 ◽  
Author(s):  
Issei Nagura ◽  
Hiroyuki Fujioka ◽  
Masahiro Kurosaka ◽  
Hiroyuki Mori ◽  
Makoto Mitani ◽  
...  
Keyword(s):  
Tension Band ◽  
Tension Band Wiring ◽  
Osteoporotic Bone ◽  
Avulsion Fractures

APPLICATION OF A TRANS-WEB APPROACH TO PLATING TECHNIQUE FOR AN EXTRA-ARTICULAR FRACTURE OF THE PROXIMAL PHALANX

Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 129-131 ◽  
Author(s):  
Eichi Itadera ◽  
Daisuke Himeno
Keyword(s):  
Soft Tissues ◽  
Screw Fixation ◽  
Proximal Phalanx ◽  
Ring Finger ◽  
Lateral Approach ◽  
Operative Field ◽  
Articular Fracture ◽  
Plating Technique ◽  
Operative Outcome

We report the case of an extra-articular fracture at the base of the proximal phalanx of the ring finger treated by plate and screw fixation using a modified trans-web approach. The combination of trans-web and mid-lateral approach provided a wide operative field and adequate visualization without marked damage to the soft tissues, and the operative outcome was excellent.

A SIMPLE METHOD OF OSTEOSYNTHESIS FOR AVULSION FRACTURES OF THE THUMB METACARPOPHALANGEAL JOINT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 209-211
Author(s):  
Kentaro Watanabe
Keyword(s):  
Internal Fixation ◽  
Avulsion Fracture ◽  
Kirschner Wire ◽  
Metacarpophalangeal Joint ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Simple Method ◽  
Avulsion Fractures ◽  
Pull Out ◽  
Thumb Metacarpophalangeal Joint

Five cases with an avulsion fracture of the thumb metacarpophalangeal joint treated by a simple method of internal fixation are described. This method is designed as a form of modified tension band wiring using the combination of a single Kirschner wire and a pull-out wire, and is technically easy.

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
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