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

2015 ◽  
Author(s):  
Qi-feng Lu
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Fixation Method ◽  
Cannulated Screws ◽  
Olecranon Fractures

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

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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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<strong> </strong>(MEPS).<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals Comparative study of management of olecranon fractures using tension band wiring technique with cancellous screw and K wires

2016 ◽  
Vol 2 (3) ◽  
pp. 109
Author(s):  
Krishnaprasad H. S. ◽  
Shivanna Shivanna
Keyword(s):  
Comparative Study ◽  
Clinical Results ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Cancellous Screw ◽  
Medical College ◽  
Prospective Comparative Study ◽  
Group 5 ◽  
K Wires ◽  
Olecranon Fractures

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> 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.</p>

scholarly journals Comparison of Internal Fixations for Distal Clavicular Fractures Based on Loading Tests and Finite Element Analyses

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Rina Sakai ◽  
Terumasa Matsuura ◽  
Kensei Tanaka ◽  
Kentaro Uchida ◽  
Masaki Nakao ◽  
...  
Keyword(s):  
Finite Element ◽  
Internal Fixation ◽  
Acromioclavicular Joint ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Torsional Stiffness ◽  
Hook Plate ◽  
Fixation Method ◽  
Loading Tests ◽  
Clavicle Hook Plate

It is difficult to apply strong and stable internal fixation to a fracture of the distal end of the clavicle because it is unstable, the distal clavicle fragment is small, and the fractured region is near the acromioclavicular joint. In this study, to identify a superior internal fixation method for unstable distal clavicular fracture, we compared three types of internal fixation (tension band wiring, scorpion, and LCP clavicle hook plate). Firstly, loading tests were performed, in which fixations were evaluated using bending stiffness and torsional stiffness as indices, followed by finite element analysis to evaluate fixability using the stress and strain as indices. The bending and torsional stiffness were significantly higher in the artificial clavicles fixed with the two types of plate than in that fixed by tension band wiring (P<0.05). No marked stress concentration on the clavicle was noted in the scorpion because the arm plate did not interfere with the acromioclavicular joint, suggesting that favorable shoulder joint function can be achieved. The stability of fixation with the LCP clavicle hook plate and the scorpion was similar, and plate fixations were stronger than fixation by tension band wiring.

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

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

<p class="abstract"><strong>Background: </strong>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.</p><p class="abstract"><strong>Methods:</strong> 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.</p><p class="abstract"><strong>Results: </strong>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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals 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

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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