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

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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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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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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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 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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BIOMECHANICAL ASSESSMENT OF TENSION-BAND WIRING FOR OLECRANON FRACTURES

Biomedical Engineering Applications Basis and Communications ◽

10.4015/s1016237211002402 ◽

2011 ◽

Vol 23 (01) ◽

pp. 83-87 ◽

Cited By ~ 1

Author(s):

Chien-Chung Kuo ◽

Horng-Chaung Hsu ◽

Shih-Wun Hong ◽

Tung-Wu Lu

Keyword(s):

Migration Rate ◽

Kirschner Wire ◽

Tension Band ◽

Tension Band Wiring ◽

Union Rate ◽

Kirschner Wires ◽

Biomechanical Assessment ◽

K Wires ◽

Radiographic Union ◽

Olecranon Fractures

Tension-band wiring is the preferred method of treatment for olecranon fractures and is widely used throughout the world. This technique simply and effectively transforms the forces produced by the pulling of the triceps into forces causing compression of the fracture. Although the procedure is associated with a high union rate, the incidence of skin complications is also high. The most frequent complication is symptomatic prominence of the Kirschner wires (K-wires). The purpose of this retrospective study was to identify the optimal fixation of tension-band wiring in the treatment of olecranon fractures using biomechanical techniques. Sixty-two patients were divided into two groups: a bicortical Kirschner wire group and an intramedullary K-wire group. The migration rate of the K-wires and the union rate of fractured bone were measured in both groups. Achievement of radiographic union was similar in the two groups. However, the K-wire migration rate was higher in the intramedullary K-wire group than in the bicortical K-wire group. With appropriate surgical technique, the use of bicortical K-wires is biomechanically superior to the use of intramedullary K-wires in the treatment of olecranon fractures.

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20214037 ◽

2021 ◽

Author(s):

Pankaj Spolia ◽

Abdul Ghani ◽

Sakib Arfee

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Road Traffic ◽

Tertiary Care ◽

Tension Band ◽

Tension Band Wiring ◽

North India ◽

Tertiary Care Centre ◽

Transverse Fractures ◽

Olecranon Fractures

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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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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