Online ISSN: 2515-8260

Keywords : TBW

A Comparative study to asses the functional outcome of tension band wiring versus plating in olecranon fractures

Paramesha K C , Srinidinayaka V , Mahendra Kumar M

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 690-694

Background: Olecranon fractures are one of the common fractures around the elbow, they constitute around 37% of all fractures occurring around the elbow joint. Olecranon fractures are common and account for 10% of upper extremity injuries. Simple displaced transverse fractures account for approximately 85% of all adult fractures. These fractures are traditionally managed operatively with operatively with open reduction and internal fixation using tension band wiring. Open reduction internal fixation with plate is advocated in the presence of comminution or fracture dislocation Objective: to compare the functional outcome between tension band wiring versus plating in olecranon fractures. Methods: A prospective study of 42 patients among which 21 patients were treated with tension band wiring and 21 were treated with plating was conducted in dept of orthopaedics MMCRI, Mysore from February 2021 to August 2022. Before subjecting the patients for investigations and surgical procedures consent was obtained and patients were followed up at 6 months interval and were assessed using Mayo Elbow Performance index. Results: Patients were assessed using Mayo elbow performance score .Out of total 42 patients, 21 were operated with TBW and 21 were operated with plating. Out of 21 operated with tension band wiring on follow up 10 showed excellent results 8 had good results and 3 had fair results. 21 Patients operated with plating 14 showed excellent and 3 good results and 4 showed fair results Conclusion: Best modality of the treatment for fracture depends upon the type of fracture. We could conclude that both plate and TBW is equally effective for management of olecranon fractures. However , plate has a slight advantage over TBW in terms of early mobilization and less  complications

Treatment of Non-Comminuted Olecranon Fracture using Tension Band Wiring and Crossing Screws

Eslam Saeed El-Sayed; Abd-Elsalam Mohammed Hefny; Ashraf Abd Eldayem; Ahmed Mashhour Gaber

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1031-1035

Olecranon fractures require open reduction and internal fixation that require anatomical reduction and early mobilization. Many methods have been described for fixation of olecranon fractures including the tension band wiring (TBW) which was the standard treatment. The aim of the present study was to comparing crossing screws fixation to the gold standard, TBW in treating isolated non-comminuted olecranon fractures by functional results as well as to assess the complications and secondary procedures. Patients and Methods: A prospective comparative study concluded 18 patients with displaced olecranon fracture Mayo's type IIA were incorporated in an interventional prospective comparative study. Patients were divided equally into two groups according to the method of treatment. A detailed history, clinical and radiological assessment were performed. The quality of the reduction, union and position of the implant will be measured. The elbow's range of motion (ROM) was measured. The functional evaluation of the surgically treated elbow will be based on the Mayo Elbow Performance Score (MEPS). At the end of the follow-up was done for one year. Results: the mean age was distributed as 30.33±9.83 and 30.88±10.05 respectively between groups with no significant difference between groups, regard sex there was no significant difference between groups. There was no significant difference detected between groups regard side. No significant difference regard follows up duration. Time of union was significantly shorter among group B. No significant difference between groups detected regard any items. Conclusion: Crossing screws for olecranon fractures provide a safe mini-invasive, that enables early healing with excellent functional outcomes and limited complications that appear to be mechanically, biologically and functionally superior to TBW