• Journal of Yeungnam Medical Science
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• 제2권1호
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• pp.59-63
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• 1985

저자들은 tension band wiring을 이용하여 주두골골절을 치료하여 그 결과를 분석하여 tension band wiring이 주두골골절의 치료에 매우 효과적이란 결론을 얻었기에 보고하는 바이다.

• 대한족부족관절학회지
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• 제6권1호
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• pp.54-59
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• 2002

Purpose: To compare the clinical results between the screw fixation and modified tension band wiring in the treatment of medial malleolar fracture. Materials and Methods: From September 1998 to April 2002, 52 patients were treated by screw fixation and 43 patients were treated by modified tension band wiring for medial malleolar fracture. Results: Accoding to Lauge- Hansen classification, there were 28 cases of supination-external rotation type (53.8%), 9 of supination-adduction type (17.3%), 8 of pronation -external rotation type (15.4 %), 7 of pronation -abduction type (13.5 %) in screw fixation group and 21 (48.9%),11 (25.6%), 7 (16.3%) 4 (9.3%) of each type in tension band wiring group. The average time to union was 15.7 weeks in screw fixation group and 12.8 weeks in tension band wiring group.(p<0.05) In the functional outcome (according to Meyer and Kumler), 29 patients treated (76.2 %) with screw fixation showed excellent results and 34 patients (86.6%) treated with tension band wiring had excellent results (p<0.05). Conclusion: We concluded that more satisfactory result could be obtained with modified tension band wiring compared with screw fixation in the treatment of the medial malleolar fracture.

• Journal of Trauma and Injury
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• 제29권1호
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• pp.22-27
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• 2016

Purpose: The optimal method of fixation of symphysis pubis (SP) diastasis in pelvic ring injuries is still controversial. In this study, we investigated the radiological and the clinical results of a precontoured 4.5-mm symphysis pubis (SP) plate with tension band wiring (TBW) after an anterior pelvic injury in pelvic fractures. Methods: We treated 25 patients with traumatic SP diastasis by open reduction and internal fixation with plates and wires. We used a four-hole 4.5-mm precontoured SP plate with a tension band wiring. Results: Patients with a SP with TBW fixation achieved excellent or good results at final follow-up. Post-operative complications included two (8%) patients with metal work movement. The mean symphyseal width was smaller in 4.5 mm SP plate with TBW during 1-year follow up period. Conclusion: A precontoured symphysis pubis plate (4.5 mm) with figure-of-eight fashion tension band wiring shows favorable radiological results, excellent or good clinical outcome, and a lower complication (hardware failure and revision surgery).

• 대한족부족관절학회지
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• 제15권1호
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• pp.18-21
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• 2011

Purpose: To evaluate the clinical and radiological results of internal fixation with tension band wiring for the fracture at the base of fifth metatarsal bone. Materials and Methods: From January 2008 to December 2009, 15 cases with displaced fracture at the base of fifth metatarsal were analyzed and average follow up period was 13.8 months. Lawrence classification was used to classify fracture type. We evaluated clinical results by American Orthopedic Foot Ankle Society (AOFAS) midfoot score and radiological results by union time. Complications was also checked. Results: According to classification, zone I fracture were 11 cases and zone II fracture were 4 cases. Bony union was achieved in all cases after 7 weeks. In the final follow-up, average AOFAS score was 94. There were no complications except hardware irritation. Conclusion: Satisfactory results were obtained after tension band wiring for the fifth Metatarsal base fracture in zone I fracture or comminuted zone II fracture for which it is not easy to be fixed with screw.

• 대한정형외과스포츠의학회지
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• 제4권2호
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• pp.133-137
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• 2005

주두 골절에 대한 치료적 수술 방법으로 장력대 강선 고정법은 골절의 고정과 유합에 유용한 방법으로 알려져 있으며, 이의 합병증으로 불유합, 운동 장애 및 강선의 피하 돌출 등이 보고되고 있으나 그 빈도는 많지 않다. 그 중 주관절의 회전 운동 장애에 대한 보고된 예가 없어 저자들은 전완 회내전과 회외전 장애를 각각 1례 경험하였기에 문헌고찰과 함께 보고하고자 한다.

• Clinics in Shoulder and Elbow
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• 제9권1호
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• pp.124-129
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• 2006

Distal clavicular fracture frequently requires operative treatment due to high rate of non-union. The operative technique includes the tension band wiring, K- wire fixation, and cerclage wiring etc. Each method has disadvantages somewhat like pin migration or acromioclavicular joint injury and so on. For the distal clavicular fracture type 2a, because of its oblique fracture line, the cerclage wiring is suitable. We performed the cerclage wiring percutaneously under minimal incision without injury to periosteum for the patient who had the distal clavicular fracture type 2a, and the result was favorable.

• Clinics in Shoulder and Elbow
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• 제11권2호
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• pp.123-130
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• 2008

견관절에서 드물게 통증을 유발하는 견봉 골의 치료에 대해서는 아직까지 논란의 여지가 있으나 6개월 정도의 보존적 치료에도 호전이 없을 경우 수술적 치료를 고려하게 된다. 이 중 수술적 치료로는 관절경하 견봉 성형술이나 개방적 견봉 성형술, 골편 제거술 또는 고정술 등 다양한 방법들이 있으나 최근 긴장대 강선 고정법 및 골 이식술을 시행하여 골유합을 얻는 방법이 선호되고 있다. 저자들은 2001년 4월부터 2006년 4월까지 본원에서 경험한 8예를 대상으로 최종 추시 기간이 2년 이상 된 환자들을 대상으로 후향적 분석을 시도하였다. 평균 나이는 45세였으며 남녀 비는 2: 6 이었다. 액와면 단순 방사선 검사상 8예 모두에서 mesoacromion의 소견을 보였다. 증상발현에서 수술까지의 기간은 평균 10개월이었으며, 개방적 정복 및 내고정 그리고 골 이식술을 시행하였다. 술 전ASES 및UCLA 점수는 $47.3\pm24.4$ 및 $16.6\pm5.8$점에서 최종 추시 상 $88.8\pm7.3$ 및 $31.5\pm1.9$점으로 향상되었다. UCLA 점수상, 우수 1예, 양호 7예의 결과를 보여주었다. 본 연구를 통하여 견봉 골의 치료로써, 골 이식술과 개방적 정복술 및 K-강선을 이용한 긴장대강선 고정법으로 만족스러운 결과를 얻을 수 있었다.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.305-308
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• 2021

Comminuted fractures of the patella mostly occur at the inferior pole and require appropriate reduction and fixation to restore the extensor mechanism. Conventional methods such as tension-band wiring are not enough to gain proper fixation strength. Numerous methods have been reported, including circumferential cerclage wiring, osteosynthesis, and suture anchors depending on the fracture pattern. Herein, the author reports a relatively rare case of a comminuted fracture of the upper pole of the patella, for which we used augmented Krackow sutures in the quadriceps and fixation with tying of the suture limbs through patellar bone tunnels. Satisfactory results were obtained in terms of reduction and extensor mechanism recovery.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.66-71
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• 1998

The fractures of lateral end of clavicle can be treated by conservative or operative treatment, but many authors report the higher rate of non-union with conservative treatment and that the operative treatment is more effective for the type II fractures. The authors reviewed and analysed 15 cases of lateral end fracture of clavicle which had been treated at Department of Orthopedic Surgery, Kyungpook National University Hospital from 1991 to 1996. The results were as follows; 1. Among the 15 patients, male was 6,female 9 and the average age was 46.2 years ranged from 21 to 72 years. 2. According to the classification by Rockwood, type II a was 8 cases and II b was 7 cases. 3. We treated operatively 12 cases, 9 cases with tension band wiring and 3 cases with intramedul-Iary K-wire fixation. And we treated conservatively 3 cases with Velpeau cast, but I case of nonunion was treated with tension band wiring. 4. The average follow-up was 3.2 years ranged from 2.1 to 4.7 years. 5. The functional results were evaluated with Weitzman's classification. 6. In the operatively treated cases, there were 4 cases(30.7%) in excellent, 7 cases(53.8%) in good and 2 cases(15.3%) in fair result. But, in the conservatively treated cases, there were 2 cases in good and I case in poor result, and the poor case did not united and had open reduction and internal fixation. 7. In conclusion, the operative treatment revealed good functional results in most cases (10/12) and early open reduction and internal fixation was better method than conservative treatment.

• 한국임상수의학회지
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• 제39권6호
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• pp.378-383
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• 2022

A 3-year-old, 24-kg intact female Border Collie was referred for a toe-touch weight-bearing stance, intermittent weight-bearing lameness, and moderate pain reaction of the right forelimb on physical examination and right humerus olecranon avulsion fracture on diagnostic imaging examination. Surgical repair was performed using tension band wiring to re-attach the triceps tendon and distal olecranon. Migration of the distal olecranon fragment was observed due to comminuted fracture of the fragment 5-days after surgery, and revision surgery was performed. The tension-relieving sutures were passed through the pre-drilled hole in the olecranon, and the polyester mesh was augmented to the suture region, covering the triceps tendon and olecranon drilling hole using the Krackow suture pattern. The elbow joint was immobilized using a type IA transarticular external fixator, which was removed 8 weeks after surgery. Fourteen weeks after surgery, no lameness was observed on gait evaluation. At follow-up after 7 months, the distal olecranon fragment had stabilized, and no lameness was observed.