Biomechanical principles of tension band wiring applied to fractures of the distal fibula and fifth metatarsal base.
Application of the tension band principle to provide dynamic compression across sites of the ankle and foot is discussed. Two cases are presented that demonstrate the basic principles of tension band fixation. A biomechanical explanation of fracture failure in long bones is also provided.
Parkinson
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DE
Department of Podiatric Surgery, Highlands Center Hospital, Denver, Colorado 80222.
Joseph
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R
Edelman
R
R
D000328:Adult; D001696:Biomechanical Phenomena; D001864:Bone Wires; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D009984:Orthopedic Fixation Devices; D011859:Radiography