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Professional Technical IVT

Tension band wiring

Also written as: TBW — Tension Band Wiring

A fixation technique that converts tensile forces into compressive forces across a fracture site.

Full Definition

Tension band wiring is a specialized orthopedic fixation technique that utilizes the principle of converting distracting tensile forces into compressive forces across a fracture. This method is particularly effective for fractures in areas where muscles create tension, such as the patella or olecranon. The technique involves placing wires or cables on the tension side of the bone, which when tightened, create compression at the fracture site during muscle contraction.

Usage

Usage note: Often abbreviated as TBW in operative notes and imaging reports.

In Context

  • "The surgeon opted for tension band wiring to repair the displaced olecranon fracture." — Operative report
  • "Postoperative radiographs demonstrated adequate reduction maintained by the tension band construct." — Radiology report

Also known as

TBW tension banding

Don't confuse with

compression plating cerclage wiring

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