Tension Band Wiring Provides Excellent Patient-Reported Long-Term Results for Both Comminuted and Simple Displaced Olecranon Fractures

Objectives This article aimed to describe olecranon fracture in dogs and cats and their stabilization with tension band wiring or plate osteosynthesis, and to evaluate complications associated with each technique. Methods Medical records of cats and dogs that had been surgically treated for olecranon fractures with either tension band wiring or plate osteosynthesis were retrospectively reviewed. The surgical technique, complications and long-term outcomes were assessed. Results Forty-one olecranon fractures were included. Fractures were articular, comminuted and open in 90, 31 and 27% of cases, respectively. Tension band wiring and plate osteosynthesis were performed in 22 and 19 fractures, respectively. Complications occurred more commonly after tension band wiring (74%) compared with plate osteosynthesis (27%) (p = 0.002) and these were probably related to it being used in comminuted fractures (p = 0.01) or to errors in technique. Minor complications included Kirschner wires migration (n = 5), pain (n = 3), osteomyelitis (n = 3), skin breakdown (n = 3) and seroma (n = 1). Implant failure requiring further fixation (n = 4) was observed only in the tension band wiring group. Other major complications included skin wound debridement and closure (n = 1) and chronic lameness requiring implant removal (n = 7). Long-term functional outcomes were excellent regardless of the technique used. Clinical Significance Plate osteosynthesis should be performed for olecranon fracture repair if technically feasible.

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Cerclage fixation without K-wires is associated with fewer complications and reoperations compared with tension band wiring in stable displaced olecranon fractures in elderly patients

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-04027-3 ◽

2021 ◽

Author(s):

Daniel Wenger ◽

Gustav Cornefjord ◽

Cecilia Rogmark

Keyword(s):

Elderly Patients ◽

Operative Treatment ◽

Treatment Method ◽

Tension Band ◽

Tension Band Wiring ◽

Complication Rates ◽

Level Of Evidence ◽

Patient Reported ◽

K Wires ◽

Olecranon Fractures

Abstract Introduction Tension band wiring of olecranon fractures has high reported rates of complications and reoperations. We aimed to compare classic tension band wiring to cerclage fixation without K-wires in the treatment of displaced olecranon fractures in elderly patients. The primary outcome was reoperation. Secondary outcomes included complications and patient reported outcomes. Outcomes following non-operative treatment were also studied. Materials and methods Patients aged > 69 years presenting with Mayo class 2a and 2b olecranon fractures at our institution from 2004 through 2016 (n = 239) were eligible for study. Fracture type, treatment method, complications and reoperations were assessed from radiographs and hospital files. QuickDASH surveys were collected by mail. Results Patients operated with tension band wire technique had more reoperations (p value 0.03): relative risk (RR) 2.2 (CI 1.08–4.3), odds ratio (OR) 2.6 (CI 1.05–6.4), and complications (p value 0.001): RR 2.5 (CI 1.51–4.1), OR 3.7 (CI 1.67–8.2), compared with those operated with cerclage technique. Non-operative treatment yielded similar complication (p value 0.2) and reoperation rates (p value 0.06) as cerclage fixation. The answer rate was insufficient to compare QuickDASH scores between treatments methods. Conclusions In patients 70 years and older undergoing cerclage fixation for displaced stable olecranon fractures (Mayo class 2), the reoperation and complications rates were less than half of those in patients undergoing TBW fixation. Non-operative treatment yielded similar reoperation and complication rates to cerclage fixation, in selected cases. Level of evidence III—retrospective comparative cohort study.

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Is tension band wiring technique the "gold standard" for the treatment of olecranon fractures? A long term functional outcome study

Journal of Orthopaedic Surgery and Research ◽

10.1186/1749-799x-3-9 ◽

2008 ◽

Vol 3 (1) ◽

Cited By ~ 72

Author(s):

Byron E. Chalidis ◽

Nick C. Sachinis ◽

Efthimios P. Samoladas ◽

Christos G. Dimitriou ◽

John D. Pournaras

Keyword(s):

Functional Outcome ◽

Gold Standard ◽

Tension Band ◽

Tension Band Wiring ◽

Outcome Study ◽

Olecranon Fractures

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K-wire position in tension-band wiring technique affects stability of wires and long-term outcome in surgical treatment of olecranon fractures

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2011.07.022 ◽

2012 ◽

Vol 21 (3) ◽

pp. 405-411 ◽

Cited By ~ 42

Author(s):

Sabine C. van der Linden ◽

Albert van Kampen ◽

Ruurd L. Jaarsma

Keyword(s):

Surgical Treatment ◽

Tension Band ◽

Tension Band Wiring ◽

Term Outcome ◽

Long Term Outcome ◽

Olecranon Fractures

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Suture Fixation Versus Tension Band Wiring of Simple Displaced Olecranon Fractures

Case Medical Research ◽

10.31525/ct1-nct04189185 ◽

2019 ◽

Author(s):

Keyword(s):

Tension Band ◽

Tension Band Wiring ◽

Suture Fixation ◽

Olecranon Fractures

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Complications and re-operations related to tension band wiring and plate osteosynthesis of olecranon fractures

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2021.03.138 ◽

2021 ◽

Author(s):

Ida K. Rantalaiho ◽

Inari E. Laaksonen ◽

Anssi J. Ryösä ◽

Katariina Perkonoja ◽

Kari J. Isotalo ◽

...

Keyword(s):

Plate Osteosynthesis ◽

Tension Band ◽

Tension Band Wiring ◽

Olecranon Fractures

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Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2014.4.359 ◽

2014 ◽

Vol 86 (4) ◽

pp. 359 ◽

Cited By ~ 17

Author(s):

Nicola Pavan ◽

Giorgia Tezzot ◽

Giovanni Liguori ◽

Renata Napoli ◽

Paolo Umari ◽

...

Keyword(s):

Erectile Function ◽

Psychological Impact ◽

Point Of View ◽

Long Term Results ◽

Penile Curvature ◽

Penile Fracture ◽

Radiological Investigation ◽

Urinary Disorders ◽

Patient Reported

Objectives: To review the cases of patients with suspected penile fracture and asses erectile and sexological outcomes. Materials and methods: from 1987 to 2013 presented to the Urology Clinic of Trieste and at the AIED of Pordenone a total of 41 cases that were divided into two groups according to the timing of treatment: 18 patients with anamnestic diagnosis of penile fracture treated nonimmediately and 23 patients treated immediately after the trauma. For all patients we evaluated the type of treatment adopted, the occurrence of complications and reoperations and the follow-up. The erectile function was also evaluated through the IIEF, as well as the psychological impact of the trauma on social and sex life, using a psycho- sexological questionnaire. Results: Among patients treated immediately after the trauma 14 were subjected to surgery. About a year after surgery, penile curvature was reported in 1 patient, pain in 3 patients, urinary disorders in 1 patient, while none reported erectile dysfunction (ED). Out of these, only 3 patients underwent reoperation. Among those treated conservatively 1 patient reported curvature, 1 patient reported pain and none reported ED. Among patients who were admitted at a later date, 14 reported curvature and 4 reported pain whereas urinary disorders were reported in 1 and ED in 4 patients. From a psychological point of view, the trauma caused in most cases a fear of new trauma and of repercussions on erectile function and sensitivity. Conclusions: The diagnosis is mainly clinical; however, radiological investigation is essential to confirm the diagnosis, assess the site and extent of the trauma and possible urethral involvement, so as to plan the most appropriate treatment. In addition, immediate treatment leads to better long-term results, with a lower incidence of ED and penile curvature. Psychologically, penile trauma intensifies the fear of reoccurrence; it decreases, however, with the passage of time.

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Patient positioning for tension band wiring of olecranon fractures

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0142 ◽

2019 ◽

Vol 101 (3) ◽

pp. 228-229

Author(s):

A Patel ◽

K Shepherd ◽

K Karthik

Keyword(s):

Patient Positioning ◽

Tension Band ◽

Tension Band Wiring ◽

Olecranon Fractures

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Best technique for fixation of displaced transverse olecranon fractures: tension band wiring or plate fixation?

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20203723 ◽

2020 ◽

Vol 6 (5) ◽

pp. 1012

Author(s):

Lokesh Kumar Yogi ◽

Gagandeep Mahi ◽

C. R. Thorat ◽

Moti Janardhan Naik

Keyword(s):

Functional Outcome ◽

Large Scale ◽

Plate Fixation ◽

Tension Band ◽

Tension Band Wiring ◽

Clinical Event ◽

Dash Score ◽

Group A ◽

Group B ◽

Olecranon Fractures

Background: Fractures of olecranon are common fractures in upper limb. Tension band wiring (TBW) and plate fixation (PF) are mostly used techniques but choice is based on type of fracture and surgeon’s preference.Methods: A study assessed functional results in 28 patients that were enrolled after the clinical event of trauma has occurred. Patients were divided into two groups- Group (A) for TBW and Group (B) for PF; here gender, age and side of fracture were ignored. Post-operative functional outcome were evaluated by using the Mayo Elbow Performance (MEP) and the Disabilities of the Arm, Shoulder and Hand (DASH) score parameters.Results: Mean (SD) union time as determined by postoperative radiographs was 8.5 (1.48) weeks for group (A) and 9 (2.08) weeks for group (B). Mean (SD) MEP score at 9 months in group (A) 84.28 (7.28) and 80.71 (10.92) in group (B). Mean (SD) DASH at 9 months in group (A) 12.2 (8.8) and 11.7 (10.4) in group (B). Complications were reported in group (A) 6 patient (42.85%) out of 14 patients and in group (B) 1 patient (7.14%) out of 14 patients.Conclusions: The current study shows that there are no significant differences in functional outcome between both the study groups. Due to lesser complications, we recommend the plate fixation approach as the better choice for transverse displaced olecranon fractures. More large scale studies are required to further confirm our results.

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