New Intramedullary Locking Nail for Olecranon Fracture Fixation—An In Vitro Biomechanical Comparison With Tension Band Wiring

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 Comparison for Different Configurations of Tension Band Wiring Techniques in Treating an Olecranon Fracture

Journal of Trauma and Acute Care Surgery ◽

10.1097/00005373-200006000-00011 ◽

2000 ◽

Vol 48 (6) ◽

pp. 1063-1067 ◽

Cited By ~ 29

Author(s):

Chi-Chuan Wu ◽

Ching-Lung Tai ◽

Chun-Hsiung Shih

Keyword(s):

Tension Band ◽

Tension Band Wiring ◽

Olecranon Fracture ◽

Biomechanical Comparison

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

Veterinary Sciences Research and Reviews ◽

10.17582/journal.vsrr/2021.7.2.129.133 ◽

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

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A Comparison of Efece Systems With Tension Band Wiring for Patella Fracture Fixation in Cadavers

10.21203/rs.2.20710/v2 ◽

2020 ◽

Author(s):

emre Karadeniz ◽

elif nedret keskinöz

Keyword(s):

Fracture Fixation ◽

Tension Band ◽

Tension Band Wiring ◽

Maximum Force ◽

Patella Fracture ◽

Wire Breakage ◽

Pt Complex ◽

Custom Made ◽

Distraction Force ◽

Median Maximum

Abstract Background: EFECE Systems are newly-defined internal fixation systems, which are suitable for patella fracture fixation. The aim of this study was to compare the fixation strength of EFECE Systems with tension band wiring for transverse patellar fracture simulation on fresh frozen cadaver models. Methods: Quadriceps tendon-patella-patellar tendon (QT-P-PT) complex was prepared from human cadavers. After simulation of a transverse patella fracture, in Group 1, 5 patella were fixed with a pair of 1.2 mm EFECE wires and 4 EFECE devices. In Group 2, 5 patella were fixed with a pair of 1.2 mm Kirschner wires (K-wire) and a cerclage wire according to the tension band technique.Using a testing device with custom-made jaws, increasing distraction force was applied to these QT-P-PT complexes. Extension of these complexes with the distraction forces was observed. The maximum distraction force and the elongation during maximum force were evaluated. Results: After 5 experiments with the EFECE Systems, there was no EFECE wire breakage or EFECE wire-EFECE device catching failure. The median maximum force was 740 N (720-810N). During maximum distraction force the median extension was 2.5 mm (1.6-2.5 mm).After 5 experiments with the tension band technique, there was no K-wire breakage. The median maximum force was 330 N (240-510N). During this maximum distraction force the median extension was 3.4 mm (2.2-3.8 mm).Conclusions: Based on the biomechanical advantages, patella fracture treatment with EFECE systems may constitute a reasonable alternative in the treatment of patella fractures.

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