European Journal of Molecular & Clinical Medicine

Abstract

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