Tension-band wiring for olecranon fractures: Analysis of risk factors for failure

Villanueva, Patricia; Osório, Fernando Santos; Commessatti, Mateo; Sánchez-Sotelo, Joaquín

doi:10.1016/j.jse.2005.08.002

Cited by 82 publications

(80 citation statements)

References 20 publications

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“…10 Karlsson et al 8 found that with a mean of 19 years after isolated olecranon fractures 50% of the patients developed degenerative changes. However, these patients did not report any substantial symptoms and no correlation could be found between radiographic findings and patient subjective outcome.…”

Section: Discussionmentioning

confidence: 99%

Does K-wire position in tension band wiring of olecranon fractures affect its complications and removal of metal rate?

Chan

Donnelly

2015

Journal of Orthopaedics

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Methods: All patients who underwent TBW for an isolated olecranon fracture in our trauma unit between 1/1/2009 and 31/12/2011 were included in this retrospective study. Mean followup was 14 months (range 5e29 months). Data was gathered from medical records and radiographs. The outcome measured was removal of metal due to complications such as wound problems or proximal migration of wires as standard practice within out trauma unit.Results: Sixty-three patients met the inclusion criteria. Forty-seven had an intramedullary compared with 16 with transcortical configuration (ratio 3:1). Nine patients (19%) with intramedullary K-wires required removal of metalwork e seven due to prominent metalwork and two with wound infection. Four patients (25%) with transcortical K-wires required removal of metalwork e three due to prominent metalwork and one with failure of metalwork. There was no significant statistical difference between transcortical and intramedullary K-wire placement with regards to complication rates following tension band wiring of an isolated olecranon fracture requiring removal of metal (Chi squared test with Yates' correction p ¼ 0.89). Conclusion:We concluded that we found no difference in complications or metalwork removal rate in the placement of K-wire in tension band wiring for isolated olecranon fracture. We recognise our study was limited by small numbers and is based on the experience of one trauma unit.

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Section: Discussionmentioning

confidence: 99%

Does K-wire position in tension band wiring of olecranon fractures affect its complications and removal of metal rate?

Chan

Donnelly

2015

Journal of Orthopaedics

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“…Patrica Villaneva treated 37 cases of olecranon fractures with Tension band wiring and stated Tension band wiring provided excellent results in a high percentage of olecranon fractures. 17 In Byron E Chalidis et al, reviewed 62 patients of isolated olecranon fractures and came to a conclusion that tension band wiring technique is the "Gold standard" for the treatment of olecranon fractures and leads to good elbow function and minimal loss of physicalcapacity. 18 Tension band wiring with K-wire is the most common method for fixation of olecranon fractures and it works on the principle of converting tensile forces to compressive forces at fracture site, it usually gives good result but cancellous screws with tension band wiring combination provides the strength of fixation that is by converting the tensile force to a compressive force at the fracture site with additional resistance to the displacement due to the lag screw compression.…”

Section: Discussionmentioning

confidence: 99%

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

Krishnaprasad

Shivanna²

2016

Int J Res Orthop

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Background: 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.Methods: 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.Results: 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.Conclusions: 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.

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“…Tension band wiring technique is a widely accepted technique which yields good and excellent results (Linden et al, 2012;Villanueva et al, 2006). Transcortical placement of Kirshner wires serve more stable fracture fixation (Linden et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Bilateral isolated olecranon fractures after trauma: Report of two cases

Çıtlak¹,

Güzel²,

Kerimoğlu³

et al. 2014

jecm

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Article HistoryReceived 01 / 10 / 2013 Accepted 05 / 10 / 2013Olecranon fractures represent approximately 10% of all fractures around the elbow in adults. Olecranon fractures occur by a fall or blunt trauma on the posterior tip of elbow, or by the forces generated by triceps muscle during a fall. Olecranon fractures were seen as unilateral fractures, however bilateral olecranon fractures were seen as pathological fractures. Anatomic restoration of the articular surface, repair of the extensor mechanism and full range of motion with stability are the main goals of treatment in olecranon fractures. Operative management should be performed when there is any articular incongruity or extensor mechanism deficit. Tension band fixation, intramedullary fixation, plating and proximal fragment excision are the main operative techniques which were used for the olecranon fractures. In this study, we reported two cases of bilateral traumatic olecranon fractures in patients without any concomitant systemic disease. Tension band wiring technique was used for the treatment of bilateral olecranon fractures. We preferred transcortical tension band wiring because it serves adequate stabilization and fragment compression with minimal instrumentation. When we reviewed the literature, we could not find isolated bilateral olecranon fractures in a patient without any concomitant disease. Treatment and rehabilitation of bilateral fractures served successful results with tension band wiring as unilateral fractures.

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Tension-band wiring for olecranon fractures: Analysis of risk factors for failure

Cited by 82 publications

References 20 publications

Does K-wire position in tension band wiring of olecranon fractures affect its complications and removal of metal rate?

Does K-wire position in tension band wiring of olecranon fractures affect its complications and removal of metal rate?

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

Bilateral isolated olecranon fractures after trauma: Report of two cases

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