Comparative study of olecranon fracture stabilized with tension band suturing v/s tension band wiring
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 3926-3935
AbstractIntroduction: Olecranon fracture occur either by direct blow usually result in comminuted fractures or indirect blow like fall on outstretched upper extremity and usually results in transverse or oblique fractures .In the past, close reduction and plaster cast application was the treatment of fracture olecranon. But prolonged immobilisation with its complications increased morbidity and mortality of patients . So keeping this in consideration, it has become important surgically. Active mobilisation after surgery will restore the patient to normal function as soon as possible. The active and early movement not only prevents the tissue from fracture disease but greatly influence quality and rapidness of fracture union.
Aims and objectives: To compare complications and benefit of tension band wiring and tension band suturing.
Methods: The present comparative study of fracture olecranon treated by Tension band wiring with K wire and Tension band suturing, at Hamidia hospital, GMC Bhopal between January 2018 to July 2019 in which 30 cases were included.
Although there are many methods of evaluation of results given by many authors, the treated olecranon fractures were evaluated in our study with Mayo Elbow Performance index (MEPI). Functional evaluation of the elbow  for functional outcome and Standard radiographs for radiological out come
Discussion: No complications were recorded in cases of TBS whereas in TBW 3 cases of stiff elbow, 4 cases of SSI, 1 case of non-union and 3 cases of hardware failure observed.
Time of union was faster in case of TBS as observed and compared with cases of TBW by mean time of around 3.4 weeks.
Out of 15 cases of TBW on basis of Mayo elbow performance score, 2 had excellent results while 5 had fair, 3 had good and 5 had poor results.
Whereas out of 15 cases of TBS all had excellent results.
Conclusion: From the present study it is concluded that the technique of open reduction and internal fixation with Kirschner wires and tension band wiring for simple transverse and oblique fractures is gold standard technique of treating fractures of olecranon and is based on sound biomechanical principle but also using ETHIBOND 5-0 as in place of tension band wiring serve better in cases with complications we observed in TBW.
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