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Tension Band Wiring in Upper Extremity Surgery
Rick Tosti1, Bryan A Hozack, Chaitanya S Mudgal
1From the Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia Hand to Shoulder Center (Dr. Tosti), Resident Orthopaedic Surgery, Thomas Jefferson University Hospital (Dr. Hozack), Philadelphia, PA, and Department of Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA (Dr. Mudgal).
Tension band wiring offers a cost-effective and stable method for treating upper extremity fractures. This technique converts tensile forces into compression, aiding early patient mobilization and bone healing.
Area of Science:
- Orthopedic Surgery
- Biomechanical Engineering
Background:
- Fractures of the upper extremity often involve tensile forces leading to mechanical bone failure.
- Existing surgical strategies may involve extensive periosteal stripping and higher costs.
Purpose of the Study:
- To highlight the efficacy and advantages of tension band wiring for upper extremity fractures.
- To present tension band wiring as a technically simple and cost-effective alternative.
Main Methods:
- Application of the tension band wiring technique.
- Analysis of biomechanical principles converting tensile to compressive forces.
- Review of clinical applications in various fracture types.
Main Results:
- Tension band wiring effectively stabilizes fractures by converting tensile to compressive forces.
- The technique facilitates early mobilization of the affected limb.
- Reduced periosteal stripping, technical ease, and cost-effectiveness are key benefits.
Conclusions:
- Tension band wiring is a versatile and advantageous technique for numerous upper extremity fractures and avulsions.
- It provides a stable, cost-effective surgical option promoting faster recovery.
- This method is also suitable for small bone arthrodeses.
