scholarly journals Management of heterotopic ossification and restricted forearm rotation after tension band wiring for olecranon fracture

2014 ◽  
Vol 9 (2) ◽  
pp. 121-125
Author(s):  
Karuppaiah Karthik ◽  
Ramon Tahmassebi ◽  
Adel Tavakkolizadeh ◽  
Jonathan Compson
Keyword(s):  
Heterotopic Ossification ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Forearm Rotation

scholarly journals Short-term functional results of surgical management of fractures of olecranon process of ulna by locking hook plate

2021 ◽  
Author(s):  
Maruti B. Lingayat ◽  
Altamash Patel ◽  
Chandrakant R. Thorat
Keyword(s):  
Functional Results ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Hook Plate ◽  
Sensitivity Testing ◽  
Superficial Infection ◽  
Non Union ◽  
Olecranon Process

<p class="abstract"><strong>Background:</strong> The aim was to study functional results of fixation of fractures of olecranon process of ulna by locking hook plate.</p><p class="abstract"><strong>Methods:</strong> The study was conducted on 30 patients who underwent fixation of olecranon fracture by locking hook plate in department of orthopaedics, GMCH Aurangabad from September 2018 to September 2020. Patients were assessed functionally using Mayo elbow performance score and radiologically using serial follow up radiographs of elbow.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 2 year follow up of 30 patients of all types of olecranon fracture treated by locking hook plate, no patient had evidence of non-union or loss of reduction or any other major complications. In our study 21 patients (70%) showed excellent results, 6 patients (20%) showed good results and 3 patients (10%) showed fair results. None of the patients in our study showed poor results. 3 patients (10%) had superficial infection which were treated by adequate antibiotics after doing culture and sensitivity testing and 4 patients (13.33%) had symptomatic metal prominence which underwent implant removal after union of fracture.</p><p><strong>Conclusions:</strong> Fixation of all types of fractures of olecranon by locking hook plate is good alternative to other methods of fixation like tension band wiring, intramedullary fixation using screw tension band wiring which are used only in selected cases. In our study we conclude that locking hook plate is excellent modality of treatment for all types of fractures of olecranon, it gives excellent functional and radiological outcome with minimal complication and stable fixation of all types of fractures including transverse as well as comminuted fractures.</p>

scholarly journals Repair of Olecranon Fracture in a Dog with Pinning and Tension Band Wiring Techniques First Case Report in Bangladesh

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Thomby Paul ◽  
Sreekanta Biswas ◽  
Sabiha Zarin Tasnim Bristi ◽  
Debashish Sarker ◽  
Saroj Kumar Yadav ◽  
...  
Keyword(s):  
Case Report ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
First Case

Proximal radio-ulnar synostosis and nonunion after olecranon fracture tension-band wiring: A case report

2009 ◽  
Vol 18 (3) ◽  
pp. e40-e44 ◽  
Author(s):  
Pablo De Carli ◽  
Gerardo L. Gallucci ◽  
Agustín G. Donndorff ◽  
Jorge G. Boretto ◽  
Verónica A. Alfie
Keyword(s):  
Case Report ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture

scholarly journals More metalwork removals in patients with olecranon fracture treated by tension band wiring than plate fixation-a propensity score matching analysis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Longhai Qiu ◽  
Yi Li ◽  
Hongbo Wu ◽  
Ruixiong Chen ◽  
Zhiwen Zhang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Plate Fixation ◽  
Treatment Method ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Propensity Score Matching Analysis ◽  
Olecranon Fractures

Abstract Background Traditional tension band wiring and plate fixation represent the commonest methods for treating olecranon fractures. However, there is no agreement on which method provides the best outcome. The aim of this retrospective study is to compare the outcomes of tension band wiring (TBW) and plate fixation (PF) for treating displaced olecranon fractures. This is the first study to use propensity score matching analysis to compare treatment methods for olecranon fracture. Method A total of 107 patients aged between 18 and 85 had acute isolated and displaced olecranon fractures. The patients were divided into either TBW (n = 49) or PF (n = 58) groups. To conduct propensity score matching for the treatment method (TBW versus PF), 58 patients were analyzed by logistic regression (29 patients in each group). Various demographic and treatment-related variables were examined and analyzed to determine their correlation. Results Functional effects between two groups are similar (in terms of Mayo Elbow Performance Score (MEPS), the patients’ range of elbow motion (ROM) and forearm rotation (RFR), the time return to work (RTW)). The total adverse events rate and metalwork removal events rate are higher in TBW than that in PF. After propensity score matching analysis, similar primary treatment efficacy (indicated by MEPS> 90) in 2 groups and more primary adverse events (indicated by metalwork removal) were perceived in TBW than that in PF. Logistic regression analysis revealed that fracture type was an independent factor that affected the efficacy of a treatment (regression coefficient = − 1.24 < 0, P = 0.03), indicating that fracture severity was inversely proportional to the efficacy of a treatment for olecranon fracture. Furthermore, logistic regression analysis demonstrated that the treatment method was an independent factor that affected metalwork removal of olecranon fracture (regression coefficient 2.38 > 0, OR = 10.77, P < 0.01), indicating that the risk of metalwork removal in the TBW Group was 10.77 times that in the PF Group. Conclusion When initially discussing the surgical approach with patients, physicians should fully weigh the possibility that TBW may lead to a second surgery due to the higher risk of internal fixation removal and that TBW won’t yield better functional outcomes than PF .

scholarly journals Osteotomy and Autograft Lengthening for Intra-Articular Malunion of the Proximal Ulna: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3
Author(s):  
Job N. Doornberg ◽  
René K. Marti
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Iliac Crest ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Iliac Crest Bone Graft ◽  
Proximal Ulna

An osteotomy with interposition of iliac crest bone graft and lengthening of the proximal ulna can be used to restore ulnohumeral congruency after a malunited comminuted olecranon fracture treated with figure-of-eight tension band wiring.

scholarly journals Randomized Prospective Study of Olecranon Fracture Fixation: Cable Pin System versus Tension Band Wiring

2012 ◽  
Vol 40 (3) ◽  
pp. 1055-1066 ◽  
Author(s):  
Q-H Liu ◽  
Z-G Fu ◽  
J-L Zhou ◽  
T Lu ◽  
T Liu ◽  
...  
Keyword(s):  
Fracture Healing ◽  
Fracture Fixation ◽  
Randomized Study ◽  
Healing Time ◽  
Outcome Data ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Fixation Method ◽  
The Mean

OBJECTIVE: This prospective, randomized study compared the effectiveness of the cable pin system (CPS) versus tension band wiring (TBW) for olecranon fracture fixation. METHODS: Patients with acute transverse or slight oblique olecranon fractures were randomly divided into two groups: one fixed by CPS and the other by TBW. Clinical outcome data were collected and analysed following a mean duration of 21 months. RESULTS: The mean ± SD fracture healing time was significantly shorter in the CPS group ( n = 30; 9.73 ± 2.02 weeks) compared with the TBW group ( n = 32; 11.13 ± 2.21 weeks). One patient in the CPS group and seven patients in the TBW group experienced postoperative complications; this difference was statistically significant. The mean ± SD Mayo Elbow Performance Score in the CPS group was significantly higher (88.67 ± 6.42) than that in the TBW group (80.78 ± 11.99). Logistic regression analysis showed an association between fixation method and fracture healing time, complications and elbow function. CONCLUSIONS: Internal fixation by CPS is an effective method for olecranon fracture and is associated with a shorter healing time, fewer complications and better function than TBW.

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