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Tension Band Wiring of Unstable Transverse Fractures of the Proximal and Middle Phalanges of the Hand

From the Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey

Correspondence: Dr. Ozcan Pehlivan, MD, Ilyas Bey Caddesi, No: 49/51 D.5, 34310 Yedikule, Istanbul, Turkey. Tel.: +90-212-5894258; fax: +90-212-6329352; E-mail : ozipeh{at}e-kolay.net

Twenty-three isolated, unstable and closed transverse middle and proximal phalangeal shaft fractures in 23 patients were treated by tension band wiring. The tension band was applied with two transverse Kirschner wires that did not cross the fracture line. All of the fractures united and achieved satisfactory functional outcomes. No patient required either physiotherapy or tenolysis or capsulotomy surgery.

Key Words: tension band wiring • phalangeal fractures

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 2, 130-134 (2004)
DOI: 10.1016/j.jhsb.2003.10.013


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