Tension band wiring is done for Fracture of:
**Core Concept**
Tension band wiring is a surgical technique used to stabilize and align bone fragments in the presence of a fracture, particularly one with a high degree of tensile stress. This method involves the use of a wire or cable that is wrapped around the bone fragments and tightened to create a stable, compressive force.
**Why the Correct Answer is Right**
Tension band wiring is commonly employed in fractures where the bone is under significant tension, such as in the case of a supracondylar fracture of the humerus. The technique takes advantage of the natural anatomy of the bone and surrounding tissues to create a stable and secure fixation. The wire is typically wrapped around the bone fragments and then turned to create a compressive force, which helps to reduce the fracture and promote healing.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because tension band wiring is not typically used for fractures that are primarily compressive in nature, such as those involving the femoral neck or acetabulum.
**Option B:** This option is incorrect because while tension band wiring can be used in the treatment of fractures involving the distal radius, it is not the most common or preferred method for this type of fracture.
**Option C:** This option is incorrect because tension band wiring is not typically used for fractures that are primarily axial in nature, such as those involving the femur.
**Clinical Pearl / High-Yield Fact**
Tension band wiring is particularly useful in the treatment of fractures that occur in areas with significant tensile stress, such as the elbow or knee. This technique can help to promote healing and reduce the risk of complications, such as nonunion or malunion.
**Correct Answer: D. Clavicle**