European Journal of Molecular & Clinical Medicine

Abstract

Introduction: This study compares two of the widely used procedures for olecranon fracture fixation in attempt to find a conclusive data and form a treatment protocol.
Material and Method: It is a single-blinded, prospective randomized study performed at single centre, aims to compare the outcomes of tension band wiring and plating for the isolated two part olecranon fracture fixation. 40 patients with mean age of 32y ( range 22 to 45) were included in the study and randomized to either TBW (n=20) or plate fixation (n=20) group  and were evaluated at 4 weeks, 12 weeks, 6 months and 12 months, post-operatively.
Results: Patients were assessed using DASH (Disabilities of Arm, Shoulder and Hand) score and Visual Analogue Score (VAS) at final follow-up at one year. DASH scores were comparable among two groups, Range of movement were satisfactory in both groups, four patients in TBW group complained of implant protrusion through skin and irritation during elbow movement, those patients were re-operated for loosening of implant and implant irritation. One patient in Plate group complained of painful range of movement and joint stiffness. Mean Union time was comparable in both groups. (6-8 weeks). Overall complication rates were higher in TBW group.
Conclusion:  Although fracture union time and range of movement was almost similar in both groups, TBW group patients reported complications more often, mostly because of implant irritation and impingement.