Comparison of Tension Band Wiring and Plate Fixation in Mayo Type 2A Olecranon Fractures

Overview

Journal Jt Dis Relat Surg

Date 2021 Jan 19

PMID 33463422

Citations 6

Authors

Ceyhun Caglar

Serhat Akcaalan

Halil Ibrahim Ozaslan

Hilal Yagar

Mahmut Ugurlu

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aims to compare clinically and functionally patients who had previously undergone tension band wiring (TBW) or plate fixation (PF) procedure due to the diagnosis of Mayo type 2A olecranon fracture in our clinic.

Patients And Methods: Data of 92 patients (51 males, 41 females; mean age 42.3±12.6 years; range, 16 to 75 years) operated on for olecranon fractures between January 2014 and December 2018 were recorded retrospectively. Forty-four patients received TBW and 48 patients received PF treatment. Their Disabilities of the Arm, Shoulder, and Hand (DASH) and Mayo scores and elbow range of motion (ROM) measurements were used for clinical and functional evaluations. Data including the time to return to work, revision rate, and follow-up time were also recorded.

Results: The mean follow-up time was 38.2±17.2 months. Patients returned to work in 9.2±4.1 weeks in the TBW group and 7.8±3.6 weeks in the PF group (p=0.279). The revision rate was 14% in the TBW group and 2% in the PF group (p=0.335). The mean DASH score was 10.0±1.8 in the TBW group and 7.7±1.2 in the PF group (p=0.001). The mean Mayo score was 84.0±9.3 in the TBW group and 88.3±9.1 in the PF group (p=0.049). For elbow flexion-extension ROM, 4° of difference was measured in favor of the PF group (p=0.043). Mean Mayo score, mean DASH score, and mean flexion-extension ROM values were statistically significantly different between the two groups.

Conclusion: Both surgical techniques are suitable and reliable in the treatment of olecranon fractures. Although TBW treatment is low-cost and simple to apply, its biggest disadvantage is a high rate of secondary surgery for implant removal due to irritation of the skin.

Citing Articles

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire.

Koroglu M, Karakaplan M, Ergen E, Eren M, Alyousef A, Ozdes H Jt Dis Relat Surg. 2024; 35(2):439-442.

PMID: 38727126 PMC: 11128946. DOI: 10.52312/jdrs.2024.1662.

Clinical outcomes of olecranon sled fixation in patients with Mayo type II olecranon fractures.

Chen C, Zhang J, Cao R, Hua K, Zha Y, Gong M Heliyon. 2024; 10(8):e29184.

PMID: 38628716 PMC: 11019171. DOI: 10.1016/j.heliyon.2024.e29184.

Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation.

Giardina S, Testa G, Cuffaro E, Castiglione M, Sapienza M, Caldaci A J Clin Med. 2024; 13(6).

PMID: 38542038 PMC: 10970898. DOI: 10.3390/jcm13061815.

Outcomes of olecranon fractures in adolescents: comparison of tension band wiring and Herbert screw fixations.

Yang W, Zhang X, Sun D, Jin S, Chen J, Li Y Front Pediatr. 2024; 11:1269628.

PMID: 38274471 PMC: 10809387. DOI: 10.3389/fped.2023.1269628.

Efficacy comparison of Kirschner-wire tension band and anchor loop plate in treatment of olecranon fracture.

Du B, Su Y, Ma T, Ji S, Lu Y, Zhang K Front Bioeng Biotechnol. 2023; 11:1203244.

PMID: 37724095 PMC: 10505394. DOI: 10.3389/fbioe.2023.1203244.

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