Suture anchor fixation may be an alternative to tension band wiring in olecranon fractures: Finite element analysis

Kuru, Tolgahan; Mutlu, İbrahim

doi:10.5606/ehc.2020.73586

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Instability due to K‐wire position and tendency toward more osteoarthritis and migration because of the K‐wire placement were reported in the literature 35,36 . In a study, fixation by anchors was also suggested to prevent complications due to K‐wires 37 . In the present study, we compared two tension band wiring surgical techniques: one with K‐wires and the other with a screw.…”

Section: Discussionmentioning

confidence: 90%

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Comparison of two surgical techniques for the treatment of transverse olecranon fractures: A finite element study

Ci̇van

Yildiz

2021

Robotics Computer Surgery

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Background In this study, we aimed to compare the stability of traditional tension band wiring (TBW) and screw combined TBW (SC‐TBW) fixation methods performed for a transverse olecranon osteotomy‐fracture during different degrees of elbow movement by using finite element analysis. Methods Three‐dimensional solid modeling of the olecranon was obtained by computed tomography images. Transverse olecranon fracture was created and fixed by TBW and SC‐TBW with respect to triceps muscle force. Opening angle, twisting angle and interplanar translation occurring on the fracture line were evaluated at 45° and 90° elbow flexion. Results Opening angle: 0.71°, 0.87° at 45° and 0.64°, 0.67° at 90° elbow flexion for TBW and SC‐TBW, respectively. Twisting angle: −0.01°, −0.19° at 45° flexion and 0.19°, 0.30° at 90° flexion for TBW and SC‐TBW, respectively. Interplanar translation: 1.93 mm, 4.65 mm at 45° flexion and 1.78 mm, 3.95 mm at 90° flexion for TBW and SC‐TBW, respectively. Conclusion TBW fixation provides more stability than SC‐TBW fixation model.

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Section: Discussionmentioning

confidence: 90%

“…35,36 In a study, fixation by anchors was also suggested to prevent complications due to K-wires. 37 In the present study, we compared two tension band wiring surgical techniques: one with K-wires and the other with a screw. However, at 45°and 90°of elbow flexion, we observed a much more opening angle in the SC-TBW group.…”

Section: Limitationsmentioning

confidence: 99%

Comparison of two surgical techniques for the treatment of transverse olecranon fractures: A finite element study

Ci̇van

Yildiz

2021

Robotics Computer Surgery

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“…Three articles were excluded upon full-text evaluation. The Kuru and Mutlu study 6 was excluded because they used a 3-dimensional finite element bone model to simulate real human bone and compare different fixation techniques. This model was excluded in this review because it did not simulate real anatomical tissue subjected to mathematical computer-based equations to provide results of the difference techniques.…”

Section: Methodsmentioning

confidence: 99%

The Use of High Strength Sutures and Anchors in Olecranon Fractures: A Systematic Review

Nazifi

Gunaratne

D’Souza

et al. 2021

Geriatr Orthop Surg Rehabil

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Purpose/Background: Olecranon fractures are common, particularly in the elderly osteoporotic population. Although various techniques of fixation are available, the gold standard—tension band wiring (TBW)—has high complication and reoperation rates. We sought to identify current evidence for the use of high-strength suture tension banding methods to determine whether they reduce complications and reoperation rates while maintaining fixation. Methods: A systematic review of several databases was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases included Cochrane, PubMed, MEDLINE and Embase. We searched for evidence of at least Level I to IV (according to NHMRC) of the use of tension band suturing or anchors in the surgical treatment of displaced olecranon fractures. We also analyzed the cost of fixation in our institute. Results: Four hundred and forty articles were identified. Of these, 9 met the inclusion criteria. One hundred thirty-one subjects had an average age of 66 years. All the studies showed that high-strength suture tension banding/anchoring maintained fixation with displaced olecranon fractures, reducing the complication rates and showed minimal reoperation rates. There was also a significant cost advantage of the suture tape construct mainly due to avoiding subsequent removal of metal. Conclusion: Tension band suturing or anchoring displaced olecranon fractures may be an alternative cost effective method to TBW in maintaining fixation, reducing metalware complications and reducing re-operation rates. Level of Evidence: IV.

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“…Olecranon fractures are one of the most common elbow fractures in adults and also constitute approximately 8 to 10% of all upper limb fractures. [ 1 , 2 ] Simple transverse olecranon fractures are the most common pattern. [ 3 ] These fractures generally show a bimodal distribution; they are seen after high-energy trauma in young patients and after simple falls in older patients due to poor bone quality.…”

Section: Introductionmentioning

confidence: 99%

Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures

et al. 2021

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Objectives This study aims to compare clinically and functionally patients who had previously undergone tension band wiring (TBW) or plate fixation (PF) procedure due to the diagnosis of Mayo type 2A olecranon fracture in our clinic. Patients and methods Data of 92 patients (51 males, 41 females; mean age 42.3±12.6 years; range, 16 to 75 years) operated on for olecranon fractures between January 2014 and December 2018 were recorded retrospectively. Forty-four patients received TBW and 48 patients received PF treatment. Their Disabilities of the Arm, Shoulder, and Hand (DASH) and Mayo scores and elbow range of motion (ROM) measurements were used for clinical and functional evaluations. Data including the time to return to work, revision rate, and follow-up time were also recorded. Results The mean follow-up time was 38.2±17.2 months. Patients returned to work in 9.2±4.1 weeks in the TBW group and 7.8±3.6 weeks in the PF group (p=0.279). The revision rate was 14% in the TBW group and 2% in the PF group (p=0.335). The mean DASH score was 10.0±1.8 in the TBW group and 7.7±1.2 in the PF group (p=0.001). The mean Mayo score was 84.0±9.3 in the TBW group and 88.3±9.1 in the PF group (p=0.049). For elbow flexion-extension ROM, 4° of difference was measured in favor of the PF group (p=0.043). Mean Mayo score, mean DASH score, and mean flexion-extension ROM values were statistically significantly different between the two groups. Conclusion Both surgical techniques are suitable and reliable in the treatment of olecranon fractures. Although TBW treatment is low-cost and simple to apply, its biggest disadvantage is a high rate of secondary surgery for implant removal due to irritation of the skin.

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Suture anchor fixation may be an alternative to tension band wiring in olecranon fractures: Finite element analysis

Cited by 5 publications

References 21 publications

Comparison of two surgical techniques for the treatment of transverse olecranon fractures: A finite element study

Comparison of two surgical techniques for the treatment of transverse olecranon fractures: A finite element study

The Use of High Strength Sutures and Anchors in Olecranon Fractures: A Systematic Review

Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures

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