PROSPECTIVE RANDOMISED COMPARATIVE STUDY OF TENSION BAND WIRING AND OLECRANON PLATING FOR TREATMENT OF 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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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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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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Suture Fixation Versus Tension Band Wiring of Simple Displaced Olecranon Fractures

Case Medical Research ◽

10.31525/ct1-nct04189185 ◽

2019 ◽

Author(s):

Keyword(s):

Tension Band ◽

Tension Band Wiring ◽

Suture Fixation ◽

Olecranon Fractures

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Complications and re-operations related to tension band wiring and plate osteosynthesis of olecranon fractures

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2021.03.138 ◽

2021 ◽

Author(s):

Ida K. Rantalaiho ◽

Inari E. Laaksonen ◽

Anssi J. Ryösä ◽

Katariina Perkonoja ◽

Kari J. Isotalo ◽

...

Keyword(s):

Plate Osteosynthesis ◽

Tension Band ◽

Tension Band Wiring ◽

Olecranon Fractures

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Patient positioning for tension band wiring of olecranon fractures

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0142 ◽

2019 ◽

Vol 101 (3) ◽

pp. 228-229

Author(s):

A Patel ◽

K Shepherd ◽

K Karthik

Keyword(s):

Patient Positioning ◽

Tension Band ◽

Tension Band Wiring ◽

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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Intramedullary screw fixation for simple displaced olecranon fractures

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-019-01114-4 ◽

2019 ◽

Vol 46 (1) ◽

pp. 83-89 ◽

Cited By ~ 1

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.

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