WorksheetsTension Band Wiring
Total questions: 10
Worksheet time: 5mins
What is the biomechanical principle behind Tension Band Wiring (TBW) for olecranon fractures?
Converts compression into tension during extension
Converts anterior shear into rotation
Converts posterior tensile forces into anterior compression during flexion
Prevents bone elongation during extension
Which of the following is an indication for TBW in olecranon fractures?
Comminuted fractures
Osteoporotic bone
Transverse or short oblique fractures
Distal shaft fractures
Which is a contraindication for Tension Band Wiring?
Isolated olecranon fracture
Short oblique fracture
Comminuted fracture
Good bone quality
What is the recommended size of the K-wires used in TBW?
1.0 mm
1.6 mm
2.5 mm
0.8 mm
Where should the K-wires be inserted during TBW surgery?
Through the ulna shaft only
Anterior to the fracture line
From the olecranon tip to the anterior cortex
Parallel to the humerus shaft
What type of wire configuration is used in TBW technique?
Circular loop
Figure-of-eight
Z-shaped suture
Straight cerclage
Which patient positioning is appropriate for TBW surgery?
Prone with medial access
Seated with elbow extended
Supine with posterior access or lateral position
Standing with arm hanging
Which of the following is a potential complication of TBW?
Bone overgrowth
K-wire migration
Tendon rupture
Nerve regeneration
When is early range of motion (ROM) usually started after TBW surgery?
After 6 weeks
Immediately post-op
After 1–2 weeks once wound has healed
After 4 months
Why is TBW considered the gold standard for simple olecranon fractures?
It avoids surgery completely
Provides stable fixation and allows early rehabilitation
Only requires external fixation
Works best for comminuted fractures
