Transcript Fractures of the Tibial Plafond

Tension Band Principles
Technique Tips
• Fracture must be
reduced
– Pointed reduction
forceps
– Consider small drill
hole for forcepsmedial
• Requires an intact
cortex opposite the
implant
Tension Band Fixation Tips
• Place wires parallel to
each other and
perpendicular to fx
• Insert in a proximal
dorsal to distal
anterior
– Remember you have
to advance wires so
leave room!
• Tip: Check ROM prior
to closing
Technique
• Drill hole for wire with
a 2.0 mm drill bit
dorsal to axis of ulna
• OR TIP: Tension with
elbow extended
• Tension Band Wire
– figure of “8”
• Double loop technique