DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20201726

A study of comparison of tension band wiring versus plating for olecranon fractures

Dhwanil Chandresh Tada, Kushal Nikhil Parikh, Varun Sanjiv Shah, Bhagirath Durlabhjibhai Goriya

Abstract


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.


Keywords


Olecranon, TBW, Olecranon-plating

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References


Ring D. Elbow fractures and dislocations in ‘Rockwood and Green Fractures in Adults. Chapter 32. Vol I. 7th edition. In: Bucholz RW, Heckman JD, eds. Lippincott Williams and Wilkins; 2010: 936-942.

Howard JL, Urist MR. Fracture dislocation of the radious and the ulna at the elbow joint. Clin Orthop. 1958;12:276-84.

Veillette CJ, Steinmann SP. Olecranon fractures. Orthopedic Clinics North America. 2008;39(2):229-36.

Cooper, Jerald L, Robert DAD. Fracture and Fracture Dislocation about the Elbow. Chapter 33. Operative Orthopaedics. Vol I. 2nd Edn. In: Chapman Michoel W, eds. Philadelphia: J.B. Lippincott Company; 1993: 479-482.

Eliot E. Fracture of the olecranon. Surg Clin North Am. 1934;14:487-92.

Willams JR. Coronoid, Radial head, Olecranon fractures and Elbow Dislocations’ Chapter 3-35. Vol -3. Oxford Text book of Orthopaedics and Trauma. 2002: 1969-1972.

Jianc X, Wang M, Huanc Q. Operative treatment of olecranon fracture associated with anterior dislocation of the elbow [J]. Chinese J Orthopaedics. 2000;3.

Macko D, Szabo RM. Complications of tension band wiring of olecranon fractures. J Bone Joint Surg. 1985;57:399.

Schliemann B, Raschke MJ, Groene P, Weimann A, Wähnert D, Lenschow S, et al. Comparison of tension band wiring and precontoured locking compression plate fixation in Mayo type IIA olecranon fractures. Acta Orthop Belg. 2014;80(1):106-1.

Core DMI, Ahn J, Gates S, Jo CH, Maroto M, Sanders D. Comparison of complications, reoperations, and outcomes between tension band wiring and plate fixation in olecranon fractures. J of Orthopaedics Trauma Surg Related Res. 2019;14(1):27.

Hume, Mary C, Wiss, Donald A. Olecranon fractures. Clin Orthop. 1992;285:229-35.

Wolfgang GA, Burke FR, Bush D, Parenti JO, Perry J, LaFollette BR, et al. Surgical treatment of displaced olecranon fractures by tension band wiring technique. Clinical Orthop Rel Res. 1987;(224):192-204.

Murphy DF, Greene WB, Damerson TB. Displaced olecranon fractures in adults, Clinical evaluation. Clin Orthop. 1987;224:215-23.