Treatment of olecranon fractures using an intramedullary cancellous screw and suture tension band: minimum 2-year follow-up.

Abstract Purpose Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Thus, the purpose of this study was to report the clinical and functional outcomes of olecranon fractures treated with an intramedullary cannulated screw. Methods We identified 15 patients (average age at index procedure 44 years, range 16–83) with a Mayo type I or IIA olecranon fracture who were treated with an intramedullary cannulated screw at a single level 2 trauma center between 2012 and 2017. The medical record was reviewed to assess radiographic union, postoperative range of motion and complications (including hardware removal). Patient-reported outcome was evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score. Average follow-up was 22 months (range 8–36 months). Results By the 6th month post-operative visit, 14 patients had complete union of their fracture and 1 patient had an asymptomatic non-union that did not require further intervention. Average flexion was 145° (range 135–160) and the average extension lag was 11° (range 0–30). Implants were removed in 5 patients due to soft-tissue irritation. Average DASH score (± standard deviation) by final follow-up was 16 ± 10. Conclusions Fixation of simple olecranon fractures with an intramedullary screw is a safe and easy fixation method in young patients, leading to good functional and radiological results. Compared to available data, less hardware removal is necessary than with tension-band wiring or plate fixation.

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The role of cancellous screw with tension band fixation in the treatment of displaced olecranon fractures, a comparative study

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-008-0355-0 ◽

2008 ◽

Vol 18 (8) ◽

pp. 571-576 ◽

Cited By ~ 17

Author(s):

Adel Refaat Ahmed ◽

Tamer Sweed ◽

Adel Wanas

Keyword(s):

Comparative Study ◽

Tension Band ◽

Cancellous Screw ◽

Olecranon Fractures

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Comparative study of management of olecranon fractures using tension band wiring technique with cancellous screw and K wires

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20162840 ◽

2016 ◽

Vol 2 (3) ◽

pp. 109

Author(s):

Krishnaprasad H. S. ◽

Shivanna Shivanna

Keyword(s):

Comparative Study ◽

Clinical Results ◽

Tension Band ◽

Tension Band Wiring ◽

Cancellous Screw ◽

Medical College ◽

Prospective Comparative Study ◽

Group 5 ◽

K Wires ◽

Olecranon Fractures

Background: Olecranon fractures are commonly seen injuries in the emergency room. The surgical management of displaced fractures is open reduction and internal fixation with k-wires and figure of eight tension band wiring. It can also be fixed with intramedullary cancellous screw with tension band wiring. The present study is to compare the results of both the surgical procedures and to assess the merits and demerits.Methods: This prospective comparative study was carried out from August 2012 to November 2013 in Bapuji Hospital and Chigateri General Hospital attached to J.J.M Medical College, Davangere, India, where among 20 olecranon fractures, ten were treated with Tension band wiring with Kirshner wire and another ten treated with intramedullary cacellous screw with tension band wiring and the results were evaluated and compared.Results: In our study, most of the cases were type II B fractures according to Colton’s classification. According to Mayo elbow performance score, Excellent results found in 8 patients (80%), good in1patient (10%) and fair in 1 patient (10%) in cancellous screw group and in K wire group, 5 patient (50%) had excellent, 3 patient (30%) had good and 2 patients (20%) had fair results. No poor result was seen in both groups.Conclusions: From this study it is concluded that using cancellous screw with tension band wiring for displaced transverse and oblique olecranon fractures gives better clinical results when compared to tension band wiring with K-wire fixation avoiding cost, work time loss and possible complications from hard ware removal.

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Comparative study of functional outcome of olecranon fractures using tension band wiring technique with cancellous screw and K wires

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i2l.2135 ◽

2020 ◽

Vol 6 (2) ◽

pp. 750-754

Author(s):

Dr. Sandip Patil ◽

Dr. Sapan Vora ◽

Dr. Dhaval Tailor ◽

Dr. Amit Garud

Keyword(s):

Comparative Study ◽

Functional Outcome ◽

Tension Band ◽

Tension Band Wiring ◽

Cancellous Screw ◽

K Wires ◽

Olecranon Fractures

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The Use of High Strength Sutures and Anchors in Olecranon Fractures: A Systematic Review

Geriatric Orthopaedic Surgery & Rehabilitation ◽

10.1177/2151459321996626 ◽

2021 ◽

Vol 12 ◽

pp. 215145932199662

Author(s):

Omid Nazifi ◽

Rajitha Gunaratne ◽

Harry D’Souza ◽

Aaron Tay

Keyword(s):

Systematic Review ◽

High Strength ◽

The Elderly ◽

Tension Band ◽

Current Evidence ◽

Complication Rates ◽

Level Of Evidence ◽

Suture Tension ◽

Reoperation Rates ◽

Olecranon Fractures

Purpose/Background: Olecranon fractures are common, particularly in the elderly osteoporotic population. Although various techniques of fixation are available, the gold standard—tension band wiring (TBW)—has high complication and reoperation rates. We sought to identify current evidence for the use of high-strength suture tension banding methods to determine whether they reduce complications and reoperation rates while maintaining fixation. Methods: A systematic review of several databases was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases included Cochrane, PubMed, MEDLINE and Embase. We searched for evidence of at least Level I to IV (according to NHMRC) of the use of tension band suturing or anchors in the surgical treatment of displaced olecranon fractures. We also analyzed the cost of fixation in our institute. Results: Four hundred and forty articles were identified. Of these, 9 met the inclusion criteria. One hundred thirty-one subjects had an average age of 66 years. All the studies showed that high-strength suture tension banding/anchoring maintained fixation with displaced olecranon fractures, reducing the complication rates and showed minimal reoperation rates. There was also a significant cost advantage of the suture tape construct mainly due to avoiding subsequent removal of metal. Conclusion: Tension band suturing or anchoring displaced olecranon fractures may be an alternative cost effective method to TBW in maintaining fixation, reducing metalware complications and reducing re-operation rates. Level of Evidence: IV.

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Clinical results of the re-fixation of a Chevron olecranon osteotomy using an intramedullary cancellous screw and suture tension band

Strategies in Trauma and Limb Reconstruction ◽

10.1007/s11751-015-0211-9 ◽

2015 ◽

Vol 10 (1) ◽

pp. 1-4 ◽

Cited By ~ 6

Author(s):

Denise Eygendaal ◽

Marc L. Wagener ◽

Marleen Dezillie ◽

Y vette Hoendervangers

Keyword(s):

Clinical Results ◽

Tension Band ◽

Cancellous Screw ◽

Suture Tension

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A study of comparison of tension band wiring versus plating for olecranon fractures

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20201726 ◽

2020 ◽

Vol 6 (3) ◽

pp. 552

Author(s):

Dhwanil Chandresh Tada ◽

Kushal Nikhil Parikh ◽

Varun Sanjiv Shah ◽

Bhagirath Durlabhjibhai Goriya

Keyword(s):

Plate Fixation ◽

Care Center ◽

Excellent Result ◽

Tertiary Care ◽

Tension Band ◽

Tension Band Wiring ◽

Radiological Outcome ◽

Clinical And Radiological Outcome ◽

Olecranon Fractures

Background: Olecranon fractures are one of the common fractures around the elbow, comprising around 37% of all fractures occurring around the elbow. Olecranon fractures are commonly treated with either plating or tension band wiring. The purpose of current study is to compare the clinical and radiological outcome of tension band wiring and plate fixation in patients operated for olecranon fractures.Methods: Current study was conducted in a tertiary care center from May 2017-2019. Study compromises of 30 patients operated for olecranon fractures. Clinical and radiological outcome of patients treated with tension band wiring or plating and assessed using the Mayo’s elbow score at 6 months follow up.Results: Out of the 30 patients, 15 were treated with tension band wiring and 15 were treated using open reduction and plating. Out of the 15 operated with tension-band wiring (TBW) K wire on follow up 11 showed excellent score on Mayo elbow score, 2 had good results and 2 had fair results. In patients operated with Plating 12 showed excellent result on follow up and 3 showed good result. No patient had fair or poor score.Conclusions: Both tension band wiring and plate fixation are effective methods for treatment of olecranon fractures however complications regarding symptomatic metal prominence and superficial infection were higher in patients treated with tension band wiring as compared to plate fixations.

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A Comparative Study of Functional Outcome of Olecranon Fractures Managed with Tension band Wiring Using K Wires with Tension Band Wiring Using Cancellous Screws Fixation

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i37a31996 ◽

2021 ◽

pp. 193-198

Author(s):

Ashutosh Parate ◽

Vasant Gawande ◽

Suvarn Gupta ◽

Ankit Jaiwal ◽

Ashwin Chavan ◽

...

Keyword(s):

Comparative Study ◽

Road Traffic ◽

Tension Band ◽

Tension Band Wiring ◽

Cancellous Screw ◽

Medical College ◽

Prospective Comparative Study ◽

Cancellous Screws ◽

K Wires ◽

Olecranon Fractures

Introduction: Olecranon fracture are some of the common injuries seen in emergency with commonest mode of trauma being fall on outstretched hand and road traffic accident. Methods: This prospective comparative study was carried out from May 2020 to May 2021 within a study period of 1 year in Datta Meghe Medical College. 20 patients of olecranon fractures were enrolled randomly. Results: According to the Mayo classification, the majority of the cases in our study were type II A fractures. The Mayo elbow performance score. In the K wire category, 5 patients (50%) had excellent results, 3 patients (30%) had decent results, and 2 patients (20%) had fair results. In both categories, there were no negative repercussions. In the cancellous screw category, excellent results were found in 8 patients (80%), nice in 1 patient (10%), and fair in 1 patient (10%). Conclusions: From this study, we came to the conclusion that for displaced olecranon fractures as per Mayo’s II A classification fixed by using cancellous screw with tension band wiring gives better clinical outcome When compared to tension band wiring, K-wire fixation keeps costs down, time, and the chance of implant removal complications.

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