“Tension Band Wiring” A Simplified Approach for Fracture Reduction and Intermittent Stabilization

Abstract

Introduction: Development in plating systems and technical knowledge regarding the osteosynthesis has made open reductions and rigid internal fixation as the most frequently used mode of treatment in facial skeleton fractures. Various modalities for fracture reduction/stabilization during fixation have been mentioned in literature, describing the use of custom made instruments or reduction forceps etc. Material and Method: We have used a method of “TENSION BAND WIRING” as a means of reducing and temporarily stabilizing the fracture segments in the mandible during rigid fixation. TENSION BAND WIRING method has been used in eighty patients having fractures in relation to mandibular symphysis, parasymphysis and body region. Conclusion: In our opinion, this method is quick, simple and effective way of achieving initial reduction and stabilization of bone prior to final rigid fixation. The added advantages are reduced operating time, reduced instrumentation and assistance which in turn provide clear and more accessible surgical field.