Surgical Treatment of Displaced Olecranon Fractures by Tension Band Wiring Technique

Wolfgang, Gary L.; Burke, F. D.; Bush, David C.; Parenti, John; Perry, James; Lafollette, Bruce; Lillmars, Steven A.

doi:10.1097/00003086-198711000-00026

Cited by 121 publications

(90 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These complications are influenced by the proximal intraosseous fixation of the K-wires into the bone and the missing transcortical fixation [1,3,5,23,34]. An insufficient scuttling was detected in 218 of 239 cases (91.21 %) making it the most common imperfection in our study.…”

Section: Discussionmentioning

confidence: 60%

Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection

Schneider

Nowak

Bastian

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The tension band wiring (TBW) technique is a common treatment for the fixation of olecranon fractures with up to three fragments. The literature and surgeons describe TBW as an uncomplicated, always available and convenient operation producing excellent results. The purpose of this study was to determine whether TBW is more ambitious than believed or the procedure provides an increased level of tolerance concerning the surgical technique. Methods This study reviewed 239 TBW cases in patients with olecranon fractures or osteotomies. We reviewed a total of 2,252 X-rays for ten operative imperfections: (1) nonparallel K-wires, (2) long K-wires, (3) K-wires extending radially outwards, (4) insufficient fixation of the proximal ends of the K-wires, (5) intramedullary K-wires, (6) perforation of the joint surface, (7) single wire knot, (8) jutting wire knot(s), (9) loose figure-of-eight configuration, and (10) incorrect repositioning. Results On average, there were 4.24 imperfections per intervention in the cases reviewed. A total of 1,014 of 2,390 possible imperfections were detected. The most frequent imperfections were insufficient fixation of the proximal ends of the K-wires (91 % of all cases), the use of a single wire knot (78 %) and nonparallel K-wires (72 %). Mayo IIa (n =188) was the most common fracture type.Conclusions Our results and the number of complications described by the literature together support the conclusion that TBW is not as easy as surgeons and the literature suggest. Although bone healing and the functional results of TBW are excellent in most cases, the challenges associated with this operation are underestimated.Level of Evidence: IV, treatment study

show abstract

Section: Discussionmentioning

confidence: 60%

Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection

Schneider

Nowak

Bastian

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Noncomminuted transverse fractures with articular displacement are the most common type. After reduction, they can be effectively stabilized with tension band wiring 2 . Comminuted fractures of the olecranon, especially those involving the coronoid process and those associated with a trans-olecranon fracture-dislocation, often require plate fixation because tension band fixation cannot provide enough stability to allow early postoperative motion of the elbow.…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Locking Compression Plate Fixation for Comminuted Olecranon Fractures

Buijze

Kloen

2009

The Journal of Bone and Joint Surgery-American Volume

124

View full text Add to dashboard Cite

Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures Buijze, G.; Kloen, P. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible.

show abstract

“…4,[9][10][11][12] However, the rates of hardware removal following tension band wiring are significant and reported to be as high as 80%. [13][14][15][16] Plating techniques have been used for both comminuted 1,17 and noncomminuted fractures of the olecranon. 4 Plating offers the advantage of increased stability 4,18 and may be associated with lower rates of hardware prominence.…”

Section: Discussionmentioning

confidence: 99%

A survey of current practices and preferences for internal fixation of displaced olecranon fractures

Wood

Thomas

Farrokhyar

et al. 2015

cjs

View full text Add to dashboard Cite

Background: Olecranon fractures represent 10% of upper extremity fractures. There is a growing body of literature to support the use of plate fixation for displaced olecranon fractures. The purpose of this survey was to gauge Canadian surgeons' practices and preferences for internal fixation methods for displaced olecranon fractures. Methods:Using an online survey tool, we administered a cross-sectional survey to examine current practice for fixation of displaced olecranon fractures. Results:We received 256 completed surveys for a response rate of 31% (95% confidence interval [CI] 30.5-37.5%). The preferred treatment was tension band wiring (78.5%, 95% CI 73-83%) for simple displaced olecranon fractures (Mayo IIA) and plating (81%, 95% CI 75.5-85%) for displaced comminuted olecranon fractures (Mayo IIB). Fracture morphology with a mean impact of 3.31 (95% CI 3.17-3.45) and comminution with a mean impact of 3.34 (95% CI 3.21-3.46) were the 2 factors influencing surgeons' choice of fixation method the most. The major deterrent to using tension band wiring for displaced comminuted fractures (Mayo IIB) was increased stability obtained with other methods described by 75% (95% CI 69-80%) of respondents. The major deterrent for using plating constructs for simple displaced fractures (Mayo IIA) was better outcomes with other methods. Hardware prominence was the most commonly perceived complication using either method of fixation: 77% (95% CI 71.4-81.7%) and 76.2% (95% CI 70.6-81.0%) for tension band wiring and plating, respectively. Conclusion:Divergence exists with current literature and surgeon preference for fixation of displaced olecranon fractures.

show abstract

Surgical Treatment of Displaced Olecranon Fractures by Tension Band Wiring Technique

Cited by 121 publications

References 0 publications

Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection

Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection

Clinical Evaluation of Locking Compression Plate Fixation for Comminuted Olecranon Fractures

A survey of current practices and preferences for internal fixation of displaced olecranon fractures

Contact Info

Product

Resources

About