Medial malleolus fractures: A biomechanical comparison of tension band wiring fixation methods

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A comparative study in fixation methods of medial malleolus fractures between tension bands wiring and screw fixation

OBJECTIVES The aim of this study is to compare two methods of internal fixations of fractured medial malleolus which are simple screw fixation and tension band wiring. PATIENTS AND METHODS Over 5 years we grouped 20 patients with fractured medial malleolus into two groups of operative treatments, group1 treated by malleolar screw fixation and group2 by tension band wiring. The patients were w...

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Optimal Fixation for Horizontal Medial Malleolus Fractures

Figure 2: A) Bar graph of the stiffness in tension for each construct. B) Bar graph of the load at two millimeters of displacement (defined as fixation failure) in tension for each construct. Error is reported as the mean plus or minus the standard deviation. The * indicates statistical significance (p < 0.05) when compared to another group. Optimal Fixation for Horizontal Medial Malleolus Frac...

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Percutaneous tension band wiring for patellar fractures.

PURPOSE To evaluate outcome of percutaneous tension band wiring for transverse fractures of the patella. METHODS 16 men and 7 women aged 27 to 65 (mean, 40) years underwent percutaneous tension band wiring for transverse fractures of the patella with a displacement of >3 mm. Pain, operating time, mobility, functional score, and complications were evaluated. RESULTS 20 patients underwent suc...

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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

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 hardwa...

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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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ژورنال

عنوان ژورنال: Orthopaedics & Traumatology: Surgery & Research

سال: 2018

ISSN: 1877-0568

DOI: 10.1016/j.otsr.2018.06.011