Clinico-radiological and functional outcome of Mayo type IIA olecranon fractures managed with tension band wiring in a tertiary care centre in North India

Background: Tension band wiring is the most common operative technique for the internal fixation of olecranon fractures. Stable internal fixation with figure of eight tension band wiring used for simple transverse fractures allows early range of motion, minimize stiffness and gives good results. The aim of this study is to evaluate the functional outcome of simple transverse fractures managed by tension band wiring.Methods: This was an observational prospective study of 24 patients with Mayo type IIA fractures aged between 18 to 65 years, with mean age of 42.5 years treated by tension band wiring. Functional outcome was assessed with Mayo Elbow Performance Score (MEPS) and Visual Analogue Scale (VAS) subjective pain score.Results: Our study was conducted on 24 patients with Mayo type IIA, out of which 16 were males and 8 were females. Most common mode of injury was fall from standing height (75%), followed by road traffic accident (16.7%) and assault (8.3%). The age range was between 18 to 65 years, with mean age of 42.5 years.Conclusions: Tension band wiring is an effective method for the treatment of transverse, non-comminuted and unstable fractures of the olecranon which provides stable fixation, early rehabilitation and gives excellent results when done in expert hands.

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Functional outcome of tension band wiring with k-wires for olecranon fractures.

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.08.3865 ◽

2019 ◽

Vol 26 (08) ◽

pp. 1256-1260

Author(s):

Kashif ◽

Haseeb Hussain ◽

Ashfaq Ahmed ◽

Rizwan Akram ◽

Atiq uz Zaman ◽

...

Keyword(s):

Functional Outcome ◽

Road Traffic ◽

Case Series ◽

Sampling Technique ◽

Tension Band ◽

Tension Band Wiring ◽

Female Ratio ◽

The Mean ◽

K Wires ◽

Olecranon Fractures

Among orthopedics trauma, the Olecranon fractures are one of the most commonly seen in the emergency room. The cause of such injuries are either fall or road traffic accident. The coronoid process stabilizes the humerus against the distal ulna. There is loss of extensor mechanism at the elbow joint whenever there is fracture of Olecranon. So, its management is always operative. Objectives: The main objective of this study was to determine the functional outcome of patients with olecranon fractures treated with tension band wiring and K-wires. Study Design: Descriptive case Series. Setting: Department of Orthopedics and Spine centre, Ghurki Trust teaching Hospital, Lahore. Period: 25th March 2016 to 30th September 2016. Materials and Methods: 85 patients were selected using Non Probability/ Consecutive sampling technique. Informed consent was taken and demographic information was noted. Surgery was performed by single team of orthopedics surgeons. Patient was followed after 06 weeks. Post-operatively for the assessment of functional outcome in terms of very good to good, fair and poor according to Murphy’s system. All the collected data was entered and analyzed on SPSS version 20. Results: In our study the mean age of the patients was 36.62±14.09 years, the male to female ratio of the patients was 0.7:1. The mean value of total Murphy’s score of the patients was 5.98±2.03. In this study the good functional outcome was observed in 35(41.18%) patients, fair outcome was observed in 46(54.12%) patients. Conclusion: The tension band wiring with K-wires shows good and satisfactory functional outcome for the management of 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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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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Intraoperative mobilisation of knee and its effect on the final functional outcome in patella fractures: a clinical study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20182739 ◽

2018 ◽

Vol 4 (4) ◽

pp. 642

Author(s):

Deepak Aher ◽

Ajay Dandotiya ◽

Dharmendra Raghuvanshi ◽

Abhishek Pathak

Keyword(s):

Range Of Motion ◽

Functional Outcome ◽

Rating Scale ◽

Road Traffic ◽

Weight Bearing ◽

Operation Time ◽

Tension Band ◽

Tension Band Wiring ◽

Early Weight Bearing ◽

Patella Fractures

Background: Treatment of patellar fractures depends on its type, integrity of extensor mechanism and fragments size. Operative measures are tension band wiring and partial or total patellectomy. Early weight bearing and then gradual mobilization and finally quadriceps strengthening remains the crux of physiotherapy. Aim of this study was to see for the effect of intraoperative mobilisation of knee on functional outcome of tension band wiring in patella fractures.Methods: 30 patients were included in this study from January 2016 to February 2018. Tension band wiring was performed in all the patients. Intraoperative mobilisation of knee as allowed was done when patient was under effect of anesthesia. Final functional outcome was assessed as per the modified knee-rating scale of the Hospital for Special Surgery and also range of motion noted. Patients were evaluated at 1 month, 2 month, 6 month and 12 months.Results: Patients aged from 25-65 years with mean age of 40 years. 26 patients were male and 4 female. In 20 cases, Right knee was involved. All had trauma due to road traffic accident. Mean operation time was 1 hour. At the end of 1 year follow up only 2 patients had range of motion <90, 4 patients had range of motion 90-120 degrees and 24 patients had range of motion >120 degrees. After 1 year, functional outcome was, excellent in 24, good in 4, fair in 1 and poor in 1.Conclusions: Intraoperative mobilisation of knee after a stable fixation with tension band wiring of patella can prove to a very effective method for increasing postoperative range of motion and improving functional outcome.

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Comparative study of tension band wiring and pre contoured locking compression plate fixation in olecranon fractures in adults

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211932 ◽

2021 ◽

Author(s):

Mohit Mahoviya ◽

Pradeep Choudhari ◽

Divyanshu Patel ◽

Arpit Choyal

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

Plate Fixation ◽

Tension Band ◽

Tension Band Wiring ◽

Improvement Rate ◽

Articular Fractures ◽

Group A ◽

Group B ◽

Olecranon Fractures

Background: Olecranon fractures are about 10% of all proximal forearm fractures.Mostly intra articular fractures, require anatomical reduction and internal fixation for satisfactory clinical outcomes. The most commonly used techniques are still tension band wiring (TBW) and plate fixation (PF). The aim of the current study is to discuss whether TBW or PF technique of internal fixation is better in the treatment of olecranon fractures.Methods: This is a comparative study including 30 adult patients of olecranon fracture classified by Mayo classification and operated upon by tension band plating (group A) and tension band wiring (group B) at Department of Orthopaedics, Sri Aurobindo Medical College and PG Institute, Indore. All operated cases between the period of January 2018 to August 2019 with follow up of 1 year were assessed on the basis of functional outcome using Mayo elbow performance score (MEPS).Results: The MEPS, 73% of the patients in group A achieved a good to excellent results in comparison to 60% in group B. no significant differences between the two groups could be detected regarding the clinical and radiographic outcome.Conclusions: Both TBW and PF interventions had treatment benefit in OFs. The current study reveals that there are no significant differences in MEPS, improvement rate and ROM between TBW and PF for OFs. More high-quality studies are required to further confirm our results as most of the cases included in study belonged to Mayo type IIA category.

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A New Internal Fixation Method: Tension Band Wiring Through Double Cannulated Screws for treatment of olecranon fractures - randomized comparative study.

Acta Orthopaedica et Traumatologica Turcica ◽

10.3944/aott.2015.14.0330 ◽

2015 ◽

Author(s):

Qi-feng Lu

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

Tension Band ◽

Tension Band Wiring ◽

Fixation Method ◽

Cannulated Screws ◽

Olecranon Fractures

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PROSPECTIVE RANDOMISED COMPARATIVE STUDY OF TENSION BAND WIRING AND OLECRANON PLATING FOR TREATMENT OF OLECRANON FRACTURES

10.36106/ijsr/4704038 ◽

2021 ◽

pp. 35-37

Author(s):

Yogesh Malik ◽

S. K. Bhaskar ◽

Hemeshwar Harshwardhan ◽

B. S. Rao ◽

Akshit Sen

Keyword(s):

Care Center ◽

Effective Means ◽

Tertiary Care ◽

Tension Band ◽

Tension Band Wiring ◽

Performance Score ◽

Mayo Elbow Performance Score ◽

Clinical And Radiological Outcome ◽

Proximal Forearm ◽

Olecranon Fractures

Introduction- Olecranon fractures are one of the most commonly seen orthopedic injuries and account for approximately 10% of all proximal . forearm fractures. Operative treatment is open advocated in fractures with an articular incongruity of more than 2 mm, hence only a minority of patients are treated conservatively. The purpose of current study is to compare the clinical and radiological outcome of tension band wiring and plate xation in patients operated for olecranon fractures. Materials and methods- Current study was conducted in a tertiary care center from December 2018 to December 2020. Study compromises of 50 patients operated for olecranon fracture. Implant used -tension band wiring with 2 k wire ,1 ss wire and olecranon plate Classification used - Schatzker classication Clinical and functional outcome were assessed using mayo elbow performance score Results and observations- Study consists of 50 cases of fractures of the olecranon treated by Tension band wiring with Kirshner wire and Olecranon plate. The results were evaluated according to the Mayo elbow performance score. The results obtained in our series were excellent in 41 (82%) patients, good in 6 (12%) patients, fair in 3 (6%) patients and no poor results. Conclusion-it is concluded that the technique of open reduction and internal xation with Kirschner wires and tension band wiring and olecranon plate xation are effective means of treating fractures of olecranon.

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Functional outcome of surgical management in cases of fracture patella in a tertiary care hospital in Salem

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211602 ◽

2021 ◽

Vol 7 (3) ◽

pp. 507

Author(s):

Nikhilesh P. S. ◽

Hari Sivanandan ◽

Anandanarayan M. ◽

A. E. Manoharan

Keyword(s):

Functional Outcome ◽

Tertiary Care ◽

Lateral View ◽

Tension Band ◽

Tension Band Wiring ◽

Definitive Treatment ◽

Care Hospital ◽

Common Procedure ◽

Fracture Patella ◽

Underlying Mechanisms

Background: Fractures of the patella are serious injuries with a broad range of subtypes. These injuries account for about 1% of all skeletal injuries and are most prevalent within the age group of 20-50 years. The underlying mechanisms of open fractures are mostly high-velocity accidents. To assess the functional outcome of various surgical procedures done for fracture patella.Methods: A longitudinal study was conducted from the department of orthopedics, Vinayaka missions Kirupananda Variyar medical college and hospital, Salem for one year in August 2019 and July 2020. All the adult patients admitted with the diagnosis of patellar fracture were included in the study. A complete local examination was conducted and an X-ray of AP and the lateral view was taken for all the patients.Results: Transverse patella fracture is being the most common fracture and for that modified tension band wiring (TBW) was the most common procedure performed and for comminuted fracture partial patellectomy was the most common procedure and for 1 patient total patellectomy was performed.Conclusions: The study shows that the treatment of patella fractures with modified tension band wiring is a definitive treatment with minimal complications and excellent functional outcomes.

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Functional outcome of arthroscopic meniscal repair in meniscal tears: a prospective study in tertiary care hospital in North India

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20212428 ◽

2021 ◽

Vol 7 (4) ◽

pp. 816

Author(s):

Simran Preet Singh ◽

Manish Singh ◽

Pankaj Vir Singh ◽

Sumitpal Singh ◽

Mudasir Arif

Keyword(s):

Knee Joint ◽

Functional Outcome ◽

Road Traffic ◽

Tertiary Care ◽

Meniscal Repair ◽

Normal Function ◽

North India ◽

Care Hospital ◽

Meniscal Injury ◽

Meniscal Tears

Background: A Meniscal injury can result in intra articular damage and which can eventually result in osteoarthritis if not treated on time and the objective should be to save the meniscus wherever possible. This study was done to analyse the functional outcome of arthroscopic meniscal repair done in different types of Meniscal tears.Methods: The study was conducted on a group of 28 patients with meniscal injury admitted in government medical college Jammu from November 2018 to October 2020. All the tears were located in the red-red and red-white zones. The functional outcome was assessed on the basis of Lysholm Tegner scoring. A standard rehabilitation protocol was followed post repair.Results: Twenty-eight patients were included in the study. Male patients outnumbered the females and the incidence of injury was more on the right side. Sports injuries were the most common mode of injury, followed by road traffic accidents and falls. Bucket handle tears were most commonly seen in the group of patients. ACL injury was the major associated injury to be noted. The functional outcome between pre and post operation was statistically significant (p<0.05). In one of the patient failures was seen. Two patients were lost to follow up and were not included in the study.Conclusions: Arthroscopic meniscal repair is a has a very good functional outcome according to our study and should be preferred over meniscectomy (subtotal or total), as meniscus being a very important shock absorber present between the knee joint can lead to delay in osteoarthritis of knee joint. Therefore, our priority should be to save the meniscus and restore the normal anatomy of the knee joint for its biomechanical stability and normal function.

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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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