Biomechanical comparison of three tension band wiring techniques for transverse fracture of patella: Kirschner wires, cannulated screws, and ring pins

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Internal Fixation of Transverse Patella Fractures Using Cannulated Cancellous Screws with Anterior Tension Band Wiring

Aims: To evaluate the effectiveness and safety of anterior tension band wiring technique using two cannulated cancellous screws in patients with transverse (AO34-C1) or transverse with mildly comminuted (AO34-C2) patellar fractures. Materials and Methods: This is a prospective study of 25 patients with transverse fracture or transverse fracture with mildly comminuted patella fractures. All the ...

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Percutaneous Cannulated Screws with Tension Band Wiring Technique in Patella Fractures

INTRODUCTION Most patellar fractures are transverse involving the central third. Open reduction and stabilization of transverse patellar fractures is indicated if there is more than 2-3 mm of fragment separation and/or articular incongruity. SURGICAL TECHNIQUE This study describes a percutaneous 2 cannulated screws and modified tension band wiring technique to treat transverse patellar fractu...

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Biomechanical analysis of tension band wiring (TBW) of transverse fractures of patella

PURPOSE Tension band wiring is commonly used for fixation of simple transverse fractures. The popular configuration is parallel Kirschner wires (K-wires) and a stainless steel wire loop placed in a vertically oriented figure-of-8. METHODS We used a wooden model of a patella with a midway transverse fracture and compared four different types of fixation. The first construct had a vertical figu...

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Treatment of distal clavicle fracture using Kirschner wires and tension-band wires.

BACKGROUND Nonunion frequently follows distal clavicle fracture. Traditional pinning methods using the through acromioclavicular articulation may result in osteoarthritic changes or ankylosis. This study introduces a direct pinning technique in which the acromioclavicular joint is spared. METHODS Twelve patients with displaced distal clavicle fractures received open reduction and fixation wit...

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Horizontal versus vertical orientation of the loop for tension band wiring of transverse patella fractures.

Conventional operative treatments of patella fractures are frequently associated with implant failure or displacement. Recent biomechanical studies showed that the orientation of the wire loop and the site of the wire twist can affect the fixation strength. The purpose of this study was to compare the clinical outcome of the tension band technique with loops in different orientations and differ...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2019

ISSN: 2309-4990,2309-4990

DOI: 10.1177/2309499019882140