Tension band wire fixation in olecranon fractures: a retrospective study

Ali, Mohammed; Hatzantonis, Catherine; Mbah, C.A.; Tambe, Amol; Clark, David

doi:10.18203/2349-2902.isj20162706

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Many studies done in western countries showed the mean injury to operation time was lowering when compared to the present study. In the series of Ali et al 16 the mean duration was 2.5 days ranging from 1 to 8 days. Two causes were identified for this delay.…”

Section: Discussionmentioning

confidence: 90%

Outcome of two knots tension band wiring (TBW) in Mayo type-IIA olecranon fracture

Choudhury

Hossen

Chowdhury

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

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Olecranon fracture is relatively common and accounts for approximately 40% of elbow joint fractures. It is an intra-articular fracture, so the aim of treatment is anatomic reduction, stable fixation and early mobilization. Tension band wiring (TBW) may be a popular and widely practiced method using either single knot or two knots techniques. Now two knots TBW are widely accepted by AO foundation as well as various countries. But single knot technique is commonly practiced in Bangladesh. The present study was done to see the clinical, radiologi- cal and functional outcome of two knots Tension band wiring (TBW) in Mayo type IIA olecranon fracture. This observational study was carried out by the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh. A total of 32 patients with Mayo type IIA olecranon fractures were treated with two knots TBW, out of which 30 cases had completed at least 24 weeks of follow-up and analyzed for final functional outcome with Mayo Elbow Performance Score (MEPS). The mean age was 32.58±14.21 years and the male to female ratio was 2.6:1. The mean radiological union time was 8.15±2.25 weeks. In 6 (18.75%) cases, it took 6 weeks, in 18 (56.25%) cases, it took 8 weeks and in 8 (25.0%), it took 12 weeks. Complications were found in 21.9% of patients. At first follow-up after the operation showed that 21 (70.0%) had moderate pain and the final follow-up showed 21 (70.0%) had no pain. The mean arc of elbow motion at first follow-up and final follow-up were 61.090±16.2340 and 122.820±15.2870, respectively. The mean functional score at 1st follow-up was 6.75±5.63 and the last follow-up was 24.76±1.69. The mean total Mayo Elbow Performance Score (MEPS) scores at first and last follow-up were 40.65±14.48 and 94.13±8.35, respectively. Excellent and good outcomes were found among 21 (70.0%) and 9 (30.0%) patients, respectively. Two knots TBW technique is safe regarding overall complication rate, pain status and excellent outcome. BSMMU J 2022; 15(2): 90-95

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Section: Discussionmentioning

confidence: 90%

Outcome of two knots tension band wiring (TBW) in Mayo type-IIA olecranon fracture

Choudhury

Hossen

Chowdhury

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

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Evaluation of Functional Outcome of Modified Tension Band Wiring at 6 Months in Isolated Olecranon Fractures in Adults

Saha¹,

Debroy²,

Panda³

2022

IJAR

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Introduction: Fractures of the olecranon account for 8 - 10 % of all fractures around the elbow joint . An uncomplicated fracture of the olecranon is considered to be a common injury. Incidence in adult population is approximately 11.5% per 1 64 100000 population .Younger individuals suffer fracture olecranon due to high energy trauma and older individuals due to simple fall . When displaced, open reduction and internal xation is usually required to obtain anatomical realignment of the articular surface and restore normal elbow function. The xation should be stable, allow active elbow exion and extension and promote union of the fracture. There are other modalities of xation of isolated olecranon fractures, such as olecranon hook plate and cannulated lag screws as well but tension band wiring is less costly and operative complications are less in non comminuted olecranon fractures. Material and methods: This prospective observational study was done over a period of 2 years on transverse and oblique fractures of olecranon. Results: the outcome of our study was favorable in support of tension band wiring in transverse and oblique fracture of olecranon in respect to union rate, early initiation of physiotherapy and nal range of motion. Conclusion: By this method post-operative immobilization in POP is greatly minimized. Thereby avoiding fracture disease.Because of rigid xation between the fracture fragments, early active and functional movements can be given to the patient reducing the chances of joint stiffness. Early initiation of physiotherapy program within 2 – 3 weeks induces compression between the fragments. This compression hastens fracture healing. Because of early union of fracture, patient is back to work earlier

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Tension band wire fixation in olecranon fractures: a retrospective study

Cited by 2 publications

References 14 publications

Outcome of two knots tension band wiring (TBW) in Mayo type-IIA olecranon fracture

Outcome of two knots tension band wiring (TBW) in Mayo type-IIA olecranon fracture

Evaluation of Functional Outcome of Modified Tension Band Wiring at 6 Months in Isolated Olecranon Fractures in Adults

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