scholarly journals Is Intramedullary Screw Fixation Biomechanically Superior to Locking Plate Fixation or Tension-Band Wiring in Transverse Olecranon Fractures? A Cadaveric Biomechanical Comparison Study

2019 ◽  
Author(s):  
Alexander Hahn, MD ◽  
Jared Atchison
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Comparison Study ◽  
Locking Plate Fixation ◽  
Biomechanical Comparison ◽  
Intramedullary Screw ◽  
Olecranon Fractures

Is intramedullary screw fixation biomechanically superior to locking plate fixation and/or tension band wiring in transverse olecranon fractures? A cadaveric biomechanical comparison study

Injury ◽  
2020 ◽  
Vol 51 (4) ◽  
pp. 850-855
Author(s):  
Alexander Hahn ◽  
Nathan N. O'Hara ◽  
Kyung Koh ◽  
Li-Qun Zhang ◽  
Robert V. O'Toole ◽  
...  
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Comparison Study ◽  
Locking Plate Fixation ◽  
Biomechanical Comparison ◽  
Intramedullary Screw ◽  
Olecranon Fractures

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 Intramedullary screw fixation for simple displaced olecranon fractures

2019 ◽  
Vol 46 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Willem-Maarten P. F. Bosman ◽  
Benjamin L. Emmink ◽  
Abhiram R. Bhashyam ◽  
R. Marijn Houwert ◽  
Jort Keizer
Keyword(s):  
Soft Tissue ◽  
Plate Fixation ◽  
Cannulated Screw ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Hardware Removal ◽  
Dash Score ◽  
Intramedullary Screw ◽  
Olecranon Fractures

Abstract Purpose Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Thus, the purpose of this study was to report the clinical and functional outcomes of olecranon fractures treated with an intramedullary cannulated screw. Methods We identified 15 patients (average age at index procedure 44 years, range 16–83) with a Mayo type I or IIA olecranon fracture who were treated with an intramedullary cannulated screw at a single level 2 trauma center between 2012 and 2017. The medical record was reviewed to assess radiographic union, postoperative range of motion and complications (including hardware removal). Patient-reported outcome was evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score. Average follow-up was 22 months (range 8–36 months). Results By the 6th month post-operative visit, 14 patients had complete union of their fracture and 1 patient had an asymptomatic non-union that did not require further intervention. Average flexion was 145° (range 135–160) and the average extension lag was 11° (range 0–30). Implants were removed in 5 patients due to soft-tissue irritation. Average DASH score (± standard deviation) by final follow-up was 16 ± 10. Conclusions Fixation of simple olecranon fractures with an intramedullary screw is a safe and easy fixation method in young patients, leading to good functional and radiological results. Compared to available data, less hardware removal is necessary than with tension-band wiring or plate fixation.

scholarly journals Biomechanical comparison of tension band wiring and plate fixation with locking screws in transverse olecranon fractures

2020 ◽  
Vol 29 (6) ◽  
pp. 1242-1248
Author(s):  
Kaare Sourin Midtgaard ◽  
Endre Søreide ◽  
Jan Egil Brattgjerd ◽  
Gilbert Moatshe ◽  
Jan Erik Madsen ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Locking Screws ◽  
Biomechanical Comparison ◽  
Olecranon Fractures

A biomechanical comparison of multidirectional nail and locking plate fixation in unstable olecranon fractures

2012 ◽  
Vol 21 (10) ◽  
pp. 1398-1405 ◽  
Author(s):  
Evan Argintar ◽  
Benjamin D. Martin ◽  
Andrea Singer ◽  
Adam H. Hsieh ◽  
Scott Edwards
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Locking Plate Fixation ◽  
Biomechanical Comparison ◽  
Olecranon Fractures

Anterior Locking Plate Osteosynthesis of Patellar Factures – Analysis of Complications and Functional Outcome

2021 ◽  
Author(s):  
Maxi Benita Tengler ◽  
Helmut Lill ◽  
Maike Wente ◽  
Alexander Ellwein
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Plate Fixation ◽  
Case Series ◽  
Tension Band ◽  
Tension Band Wiring ◽  
High Rate ◽  
Locking Plate Fixation ◽  
Patellar Fractures

Abstract Background Tension band wiring is the standard procedure for patellar fractures, but is associated with a high rate of implant related complications and implant failure. Tension band wiring may fail, especially with multifragmentary and comminuted fractures. Plate fixation of complex patellar fractures seems to be superior to wiring, both clinically and biomechanically. The aim of this study was to evaluate complications after locking plate fixation in patellar fractures two years after surgery and to access the functional outcome. Material and Methods As part of a prospective case series, all patients who had received locking plate fixation of a patellar fracture between April 2013 and May 2018 were clinically examined two years postoperatively and potential complications were evaluated. Results A total of 38 patients aged 19 – 87 years were included. Complications occurred in a total of five patients (13%), including one reactive prepatellar bursitis, one chronic infection and loss of reduction due to a dislocated pole fragment in three cases. The average active range of motion of the affected knee joint two years postoperatively was 133°. The Tegner activity scale score reached 3 points, the Lysholm score 95 points and the Kujala score 95 points. Conclusion With an overall relatively low complication rate and good clinical outcome, dislocated distal pole fragments are a common complication after plate fixation of patellar fractures. If preoperative diagnostic testing shows a pole fragment, a modified hook-plate can be used, with the possibility of fixing the pole fragment.

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

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

<p><strong>Background:</strong> 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.</p><p><strong>Methods:</strong>  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.</p><p><strong>Results:<em> </em></strong>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.</p><p><strong>Conclusions:<em> </em></strong>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.</p>

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