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.

scholarly journals Treatment of displaced fractures of the patella: Tension band wiring technique with the one-end or both-ends K-wire bending fixation method

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902098817
Author(s):  
Po-Hua Huang ◽  
Chi-Hsiang Hsu ◽  
Shan-Ling Hsu ◽  
Hao-Chen Liu
Keyword(s):  
Fracture Healing ◽  
Kirschner Wire ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Fixation Method ◽  
Fixation Methods ◽  
Hardware Complications ◽  
Fixation Techniques ◽  
K Wires ◽  
The One

Purpose: Tension band wiring technique has been widely used for treating patellar fracture. Conventional techniques are associated with some complications and several modifications have been introduced to increase stabilization. The purpose of this study was to compare two different fixation techniques, the one-end and both-ends Kirschner wire bending fixation methods. Methods: We retrospectively reviewed patient data from 2013 to 2017, including the age, sex, body height, body weight, BMI, lesion of injury, trauma mechanism, fracture displacement and classification, type of fixation, fracture healing duration, length of follow-up, clinical results and complications. The surgical outcome was assessed using the pain score (VAS), Lysholm knee score, and knee joint ROM. Plain radiographs were used to evaluate radiographic outcomes and assess the fracture union duration and hardware complications. We performed statistical analysis to compare these two different fixation techniques. Results: There were no significant differences between the two groups in terms of demographic data, fracture healing duration, level of the K-wires, distance between the K-wires, or length of the K-wires over the patella length (all p > 0.05). There were significant differences in the VAS score, K-wire migration, flexion degree, ROM, and Lysholm score (all p < 0.001) between the two different fixation methods. Conclusion: The both-ends K-wire bending fixation method has a lower complication rate and results in a better clinical outcome than the one-end K-wire bending fixation method. This revised technique can effectively control both ends of the K-wires, thus eliminating the possibility of K-wire migration and improving the fixation stability.

scholarly journals Outcome of Transverse Patella Fractures Fixed With Cannulated Screws and Stainless Steel Tension Band Wiring

2021 ◽  
Author(s):  
Haytham Abdel-Moneim Abdel-Moneim ◽  
Mohammed Ahmed Moussa
Keyword(s):  
Stainless Steel ◽  
Fracture Healing ◽  
Skin Irritation ◽  
Early Mobilization ◽  
Healing Time ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Complication Rates ◽  
Cannulated Screws ◽  
Patellar Fractures

Abstract Background: Tension band supplemented by K-wires has long been the definitive technique for patellar fractures fixation. However, it is not without drawbacks. The stainless streel cable-cannulated screw tension band technique, may shorten healing time, decrease the complications and provide early range of knee motion. Herein, the current study evaluates the clinical and radiological outcome of this surgical modality. Methods: This prospective study was conducted on 21 patients (13 males and 8 females) with transverse fracture patella from June 2017 to April 2021. The surgical fixation consisted of two 4.0-mm parallel partially threaded cannulated cancellous screws with a figure-of-eight stainless steel tension band wiring. Follow-up was at least 10 months. Assessment criteria included the Lysholm score for knee function, ROM, VAS for pain, fracture reduction, fracture healing time, and complication rates. After 3 postoperative weeks, slab was removed and immediate rehabilitation were commenced.Results: The average Lysholm scores were 82.9 ± 4.4 SD, 87.8 ± 5.3 SD, and 92.7 ± 3.6 SD after 3, 6, and 10 months, respectively. VAS scores for pain were 2.6 ± 3.0 SD, 1.4 ± 2.6 SD, and 0.5 ± 2.3 SD at 3, 6 and 10-month, respectively. The patients had gained total ROM after 3, 6 and 10 months. The mean fracture healing time was 2.1 months (range, 1.5 - 3.1 months). Two patients experienced skin irritation by wire tails.Conclusion: The stainless steel cannulated screws and tension band construct provides a good alternative in treatment of transverse patellar fractures. It could yield stable fixation, low complication rate while providing early mobilization and accelerated rehabilitation.

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

2010 ◽  
Vol 69 (5) ◽  
pp. E56-E61 ◽  
Author(s):  
Tobias E. Nowak ◽  
Klaus J. Burkhart ◽  
Lars P. Mueller ◽  
Stefan G. Mattyasovszky ◽  
Torsten Andres ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Olecranon Fracture ◽  
Locking Nail ◽  
Biomechanical Comparison

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 Comparison of the efficacy of the tension band wiring with eyelet wire versus anatomical locking plate fixation for the treatment of displaced olecranon fractures

2021 ◽  
Vol 29 (3) ◽  
pp. 230949902110592
Author(s):  
Haruhiko Shimura ◽  
Akimoto Nimura ◽  
Koji Fujita ◽  
Hidetoshi Kaburagi
Keyword(s):  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Locking Plate ◽  
Plate Fixation ◽  
Elbow Flexion ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Locking Plate Fixation ◽  
The Mean ◽  
Olecranon Fractures

Background This retrospective study was conducted to assess the clinical outcome and complications between tension band wiring (TBW) with eyelet wire and locking plate fixation used for the treatment of displaced olecranon fractures. Methods A total of 58 patients (36 males and 22 females; mean age: 63 years) were reviewed between April 2014 and September 2020. TBW with Ring Pin (RP group) was applied in 24 patients, including 15 Mayo type ⅡA and 9 Mayo type ⅡB patients. Anatomical locking plate (ALP group) was used in 34 patients, including 22 Mayo type ⅡA and 12 Mayo type ⅡB patients. Clinical outcome was evaluated using the Mayo Elbow Performance Score (MEPS), and active range of motion of the elbow and forearm and postoperative complications were reviewed. Results General characteristic of the patients and the fracture type were similar in the two groups. The mean MEPS values were 96.5 ± 7.3 in the RP group and 94.9 ± 9.4 in the ALP group. The mean elbow flexion arc was 127°±11 in the RP group. The mean elbow flexion arc was 122°±18 in the ALP group. No significant differences in clinical outcomes were observed between the two groups. Complication rates were significantly higher in the ALP group (19/34: 56%) than in the RP group (6/24: 25%). Conclusion Although there were no statistically significant differences in clinical outcomes between the two groups, the ALP group had a higher proportion of any complication than the RP group.

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

scholarly journals The use of orthopaedic wire for fracture fixation in companion animals

2017 ◽  
Vol 55 (1) ◽  
pp. 63
Author(s):  
N. N. PRASSINOS (N.N. ΠΡΑΣΙΝΟΣ)
Keyword(s):  
Fracture Fixation ◽  
Companion Animals ◽  
Companion Animal ◽  
Fracture Repair ◽  
Tension Band ◽  
The Other ◽  
Fixation Method ◽  
Orthopaedic Implants ◽  
Wire Tension ◽  
Fracture Management

Orthopaedic wire is widely used in companion animal fracture repair. It is mainly applied as an auxiliary fixation method, in combination with other orthopaedic implants, and rarely as the sole method of fixation. The most frequently used types of orthopaedic wire are those with both ends straight, and the AO/ASIF wire, which has an "eye" twisted into one end of it, whereas the other end is straight. The wire should be applied tighdy and secured into place, either by a twist knot or by the use of a locking loop, respectively. Three types of wiring can be seen: fullcerclage wire, tension band wire and interfragmentary wires (cruciate or hemi-cerclage). The understanding of the proper principles of orthopaedic wire application and of the limitations of its use with fracture management is crucial. When applied properly and in the correct circumstances, orthopaedic wire is an effective mean of fracture fixation.

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