Treatment of Complete Acromioclavicular Dislocation with Kirschner Wire/Tension-Band Wiring

1987 ◽  
Vol 22 (1) ◽  
pp. 230
Author(s):  
Heui Jeon Park ◽  
Yeu Seung Yoon ◽  
Jung Mo Lee
Keyword(s):  
Kirschner Wire ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Acromioclavicular Dislocation ◽  
Wire Tension

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.

scholarly journals K wire: a lethal implant

2015 ◽  
Vol 1 (1) ◽  
pp. 83 ◽  
Author(s):  
Ganesan Ganesan Ram ◽  
Phagal Varthi Vijayaraghavan
Keyword(s):  
Spinal Cord ◽  
Acromioclavicular Joint ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Acromioclavicular Dislocation ◽  
Carotid Sheath ◽  
Wire Fixation ◽  
Life Threatening ◽  
History Of ◽  
History Of Pain

<p class="abstract">Pins used to stabilize the acromioclavicular joint have a colourful, interesting history of migrating into remote, life threatening locations such as lungs, spinal cord, the neck, posterior to the carotid sheath and the pleura or close to it. 35 year male 3 year post op K wire fixation acromioclavicular joint came with history of pain in neck was diagnosed with broken K wire in neck. Even though K wire fixation and tension band wiring is one of the modes of treating acromioclavicular dislocation K wire fixation should be kept as the last resort while planning the treatment. Complications of K wire migration can be lethal. Hence K wiring in acromioclavicular joint should be done with utmost caution. </p><p class="keywords"><strong><span lang="EN-US">Keywords: </span></strong>K wire, Acromioclavicular dislocation, Tension band wiring</p>

Comparison of the Kirschner Wire Tension Band with a Novel Nickel–Titanium Arched Shape–Memory Alloy Connector in Transverse Patellar Fractures: A Retrospective Study

2020 ◽  
Author(s):  
Yang Wang ◽  
Demeng Xia ◽  
Xi Luo ◽  
Hongyue Zhang ◽  
Jianghong Wu ◽  
...  
Keyword(s):  
Shape Memory Alloy ◽  
Hospital Stay ◽  
Shape Memory ◽  
Kirschner Wire ◽  
Length Of Hospital Stay ◽  
Nickel Titanium ◽  
Tension Band ◽  
Wire Tension ◽  
Surgical Duration ◽  
Patellar Fractures

AbstractThis study aims to compare the clinical outcomes of the nickel–titanium arched shape–memory alloy connector (hereafter referred to as the ASC) and tension band fixation for the treatment of transverse patellar fractures. We retrospectively analyzed a total of 257 patients with transverse patellar fractures who were treated at our emergency orthopaedics department from March 2010 to March 2017. Either an ASC or the Kirschner wire (K-wire) tension band had been used to treat these fractures according to surgeons' experience and preference. We compared operative details, postoperative recovery, and postoperative knee function at 6 months. In terms of surgical duration, blood loss, incision length, length of hospital stay, and postoperative complications, patients in the ASC group showed significantly better results than patients in the K-wire group (p < 0.05). There were no significant differences between the two groups in terms of fracture healing time, knee mobility, and the Boström score at the postoperative 6-month evaluation (p > 0.05). Though, there were similar functional outcomes between two groups whose transverse patellar fractures were different methods, we found that the ASC method was a more reliable, more minimally invasive, and safer treatment option than the tension band wiring method using K-wires, resulting in less tissue damage, shorter surgical duration, shorter length of hospital stay, and fewer complications.

PEAK LOAD RESISTANCE OF THE JUGGERKNOTXS™ SOFT ANCHOR TECHNIQUE COMPARED WITH OTHER COMMON FIXATION TECHNIQUES FOR LARGE MALLET FINGER FRACTURES

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 381-388
Author(s):  
Jason Pui Yin Cheung ◽  
Boris Fung ◽  
Wing Yuk Ip
Keyword(s):  
Kirschner Wire ◽  
Peak Load ◽  
Load Resistance ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Fixation Method ◽  
Mallet Finger ◽  
Pull Out ◽  
Fixation Techniques ◽  
Anchor Fixation

Introduction: To identify the strongest peak load resistance among four mallet finger fracture fixation methods (Kirschner wire, pull-out wire, tension-band wiring and the JuggerKnot™ (Biomet) soft anchor fixation). Methods: Fixation techniques were assigned among 24 specimens from six cadaveric human hands in a randomized block fashion. Peak load resistance was tested at 30°, 45° and 60° of flexion of the distal interphalangeal joint. Results: The mean peak load of tension-band wiring was 67.8 N at 60° of flexion which was most superior. The JuggerKnot™ fixation had mean peak loads of 13.35 N (30°), 22.51 N (45°) and 32.96 N (60°). No complications of implant failure or fragmentation of the dorsal fragment was noted. Conclusions: Tension-band wiring was the strongest fixation method but was most prominent on the skin surface as seen in three specimens. The JuggerKnot™ soft anchor fixation had similar peak load resistance as k-wire fixation and pull-out wiring.

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.

scholarly journals The additional iron cable fixation between proximal patella and tibial tuberosity to treat AO/OTA 34C3 patellar fracture

2020 ◽  
Author(s):  
Dongzheng Zhang ◽  
Yong Shen
Keyword(s):  
Statistical Difference ◽  
Kirschner Wire ◽  
Operation Time ◽  
Tibial Tuberosity ◽  
Tension Band ◽  
Patellar Fracture ◽  
Wire Tension ◽  
Significant Statistical Difference ◽  
Cable Fixation ◽  
Additional Iron

Abstract Background: It is very difficult to deal with AO/OTA 34C3 patellar fracture. Although the modified Kirschner wire tension band, the cerclage and plate has been proposed to treat it, the result is not very good. We found that if the fixation was not firm enough after the modified Kirschner wire tension band with or without the cerclage had been carried out, the additional iron cable fixation between proximal patella and tibial tuberosity could resolve it effectively.Methods: Retrospective analysis was completed. 21 patients with AO/OTA 34C3 patellar fracture were treated in our department from January 2014 to January 2018. They were divided into 2 groups according to the operation plan. Group 1 (normal group), with 12 patients, was treated with modified Kirschner wire tension band with or without cerclage cable. Group 2 (cable group), with 9 patients, was treated with the additional iron cable fixation between proximal patella and tibial tuberosity when the fixation was not firm enough after the modified Kirschner wire tension band with or without the cerclage had been completed.Results: The two groups of the age, sex ratio, trauma mechanism, operation time, free articular fragment, comorbidity and follow-up time had no significant statistical difference (P>0.05). There was no significant statistical difference between the two groups of the clinical results. (such as Bostman total score and its specific individual score, the excellent and good ratio, the complications, and the bone union time, etc.) (P>0.05).Conclusions: To deal with AO/OTA 34C3 patellar fracture, when the fixation of modified Kirschner wire tension band with or without the cerclage cable is not firm enough, the additional iron cable fixation between proximal patella and tibial tuberosity can resolve it effectively.

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.

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