Dynamic biomechanical analysis of different olecranon fracture fixation devices – Tension band wiring versus two intramedullary nail systems: An in-vitro cadaveric study

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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Biomechanical Analysis of a Transverse Olecranon Fracture Model Using Tension Band Wiring

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2012.07.025 ◽

2012 ◽

Vol 37 (12) ◽

pp. 2506-2511 ◽

Cited By ~ 5

Author(s):

James Hammond ◽

Robert Ruland ◽

Christopher Hogan ◽

David Rose ◽

Stephen Belkoff

Keyword(s):

Tension Band ◽

Tension Band Wiring ◽

Olecranon Fracture ◽

Biomechanical Analysis ◽

Fracture Model

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BIOMECHANICAL COMPARATIVE STUDY BETWEEN TENSION BAND WIRING, DOUBLE ENDO BUTTON AND HOOK PLATE FOR ACROMIOCLAVICULAR JOINT INJURY

(JOINTS) Journal Orthopaedi and Traumatology Surabaya ◽

10.20473/joints.v7i1.2018.65-76 ◽

2019 ◽

Vol 7 (1) ◽

pp. 65

Author(s):

Erwin Ramawan ◽

Jifaldi Afrian MDS

Keyword(s):

Acromioclavicular Joint ◽

Scientific Basis ◽

Tension Band ◽

Tension Band Wiring ◽

Hook Plate ◽

Joint Injury ◽

Joint Reconstruction ◽

Ac Joint Reconstruction ◽

Acromioclavicular Joint Injury

Background: The treatment for acromioclavicular joint injury are debatable, there are fixation options include tension band wiring, AC joint reconstruction and hook plate These fixations are capable of providing a stable fixation, but controversy still exists that mentions the superiority of each of these fixationsPurpose: To compare biomechanical stability of 3 fixation include tension band wiring, double endo button, and hook plate to provide a scientific basis of the fixation.Methods: This research is an experimental in vitro. Using 27 acromioclavicular joints cadaver divided into three groups that performed tension band wiring fixation, double endo button and hook plate. Each fixation evaluated with 10, 20, 50 and 100 times repetitions with 100N traction force.Results: Tension band wiring gives the smallest displacement. In 10 times repetition average displacement of tension band wiring 0.056 mm (p = 0.000) compared to double endo button 1.622 mm and hook plate 0.867 mm. In 20 times repetitions, tension band wiring 0.1667 mm (p = 0,000) compared to double endo button 3.1778 mm and hook plate 1.1111 mm. In 50 times repetition, tension band wiring 0.3111 mm (p = 0.000) with double endo button 4.7778 mm and hook plate 1.3556 mm. In 100 times repetitions, tension band wire 0.556 mm (p = 0.000) while double endo button 5.4444 mm and hook plate 1.4556 mm.Conclusion: Tension band wiring have a good stability compared to double endo button and hook plate. But all of fixation provide stability for acriomioclavicular joint motion.

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Biomechanical analysis of tension band fixation for olecranon fracture treatment

Journal of Shoulder and Elbow Surgery ◽

10.1016/s1058-2746(96)80016-4 ◽

1996 ◽

Vol 5 (6) ◽

pp. 442-448 ◽

Cited By ~ 41

Author(s):

Scott H. Kozin ◽

Lawrence J. Berglund ◽

William P. Cooney ◽

Bernard F. Morrey ◽

Kai-Nan An

Keyword(s):

Tension Band ◽

Olecranon Fracture ◽

Biomechanical Analysis ◽

Fracture Treatment

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A Biomechanical Analysis of Intrascaphoid Compression Using the 3.00 mm Synthes Cannulated Screw and Threaded Washer: an in vitro Cadaveric Study

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2000.0481 ◽

2001 ◽

Vol 26 (1) ◽

pp. 22-24 ◽

Cited By ~ 14

Author(s):

I. K. Y. LO ◽

G. J. W. KING ◽

S. D. PATTERSON ◽

J. A. JOHNSON ◽

D. G. CHESS

Keyword(s):

Compressive Force ◽

Cannulated Screw ◽

Load Cell ◽

Cadaveric Study ◽

Biomechanical Analysis ◽

Transverse Osteotomy ◽

The Mean

This study evaluated the compressive capabilities of the 3.0mm Synthes cannulated screw and threaded washer. A transverse osteotomy was performed at the waist of eight cadaveric scaphoids and a custom-designed load cell was inserted before internal fixion with a 3.0mm cannulated screw and threaded washer. The mean intrascaphoid compression achieved was 108 (SD, 60) N. This compressive force is comparable to that produced by standard cortical screws.

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

Strategies in Trauma and Limb Reconstruction ◽

10.1007/s11751-014-0197-8 ◽

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

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20212915 ◽

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

Background: The aim was to study functional results of fixation of fractures of olecranon process of ulna by locking hook plate.Methods: 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.Results: 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.Conclusions: 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.

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