Practical: Tension Band Wiring
Converts distraction forces into compression forces.
- Patella fracture
- Olecranon fracture
- Lateral and Medial malleoli
- Tuberosity of the humerus
Reduction – using 1 or 2 pointed reduction clamps
Drill a hole medial to lateral approximately 40mm distal to the fracture line and 5mm from the posterior cortex – 2mm drill
Wire preparation – 1mm wire, make a loop 1/3rd along its length. Insert the shorter segment of the wire into the drilled hole from medial to lateral.
K wire insertion – 1.6mm K wire through the proximal end of the olecranon – aim towards the anterior cortex.
Second K wire insertion – 1.6mm placed parallel to the first one.
Withdraw the K wires approximately 1cm
Figure of 8 – Pass the long segment of the 1mm wire around the 2 K-wires in a figure of 8 configuration. Unite the two wires with a twist.
Tighten the wires
Sink the K-Wires