Comparison of all suture fixation with tension band wiring and plate fixation of the olecranon

Phadnis, Joideep; Vaughan, Alex; Luokkala, Toni; Peters, Jonathon; Watson, Jay James; Watts, Adam C.

doi:10.1177/1758573219831662

Cited by 17 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The SR group had 2 complications after olecranon osteotomy, 1 radiological nonunion not requiring further surgery, and 1 failed fix-ation. None of the patients had suture irritation 97 . Currently, there is a multicentered RCT in the United Kingdom comparing SR with TBW called the Simple Olecranon Fracture Fixation Trial.…”

Section: Plate Osteosynthesismentioning

confidence: 92%

Olecranon Fractures

2023

View full text Add to dashboard Cite

Olecranon fractures account for 10% of all elbow fractures and are more likely to result from a low-energy injury. A displaced fracture with a stable ulnohumeral joint (Mayo type 2) is the most common type of injury.» The management of an isolated olecranon fracture is based on patient factors (age, functional demand, and if medically fit to undergo surgery) and fracture characteristics including displacement, fragmentation, and elbow stability.» Nonoperative management can be successfully used in undisplaced fractures (Mayo type 1) and in displaced fractures (Mayo type 2) in frail patients with lower functional demands.» Patients with displaced olecranon fractures with a stable ulnohumeral joint without significant articular surface fragmentation (Mayo type 2A) can be managed with tension band wiring, plate osteosynthesis (PO), intramedullary fixation, or suture repair.» PO is advocated for multifragmentary fractures and fractures that are associated with ulnohumeral instability. It is essential to consider the variable anatomy of the proximal ulna during surgery.

show abstract

Section: Plate Osteosynthesismentioning

confidence: 92%

Olecranon Fractures

2023

View full text Add to dashboard Cite

show abstract

“…TBS is theorised to decrease the need for hardware removal due to lack of a metal tension band implant [31]. The one included study comparing TBW and TBS supported this by demonstrating a 12.1% lower rate of hardware removal in TBS (p=0.217).…”

Section: Complicationsmentioning

confidence: 93%

“…al. which reported a significantly lower rate of reoperation in TBS when compared with TBS (p=0.002), with the need for revision fixation not Studies discussed but not included due to lack of statistical analysis.being reported in any TBS patients[31]. This study was not included due to a lack of separate analysis of patients with comminuted and non-comminuted fractures.…”

mentioning

confidence: 97%

Metal Tension-Band Wires vs Tension-Band Sutures in the Fixation of Olecranon Fractures: A Systematic Review

Shaunak¹,

Dadrewalla²,

Sinha³

et al. 2022

austinjorthopaderheumatol

View full text Add to dashboard Cite

Background: Tension-Band Wiring (TBW) is the treatment of choice for displaced, non-comminuted olecranon fractures. Due to the high complication rate involved with TBW, particularly the need for re-operative hardware removal, an alternate method using a high-strength, non-metallic Tension-Band Suture (TBS) construct has been precipitated. There is currently no literature comparing and evaluating these 2 particular techniques, therefore, this systematic review aims to address this. Methods: 6 databases were searched (MEDLINE, Embase, Web of Science, Cochrane Library, The CRD and Clinicaltrials.gov). Titles, abstracts and full articles were then systematically screened against the eligibility criteria. The primary outcomes studied were reported postoperative functional outcomes, and complication rates. Results: From 2538 identified abstracts, 5 studies met our eligibility criteria. Only one study compared TBW with TBS and concluded that in paediatric patients, there is a lack of benefit from TBS due to a similar rate of reoperation for hardware removal. 4 studies solely analysed TBW. In TBW, the rate of reoperation reached as high as 76.5% with the need for hardware removal being the most common indication. Conclusion: This review was required to highlight the alarming paucity of studies analysing TBS fixation in the treatment of non-comminuted olecranon fractures. Based on the included studies, it is difficult to conclude an advantage for either TBW or TBS due to the lack of standardised measuring of functional outcomes and comparative studies. There is potential for a reduced rate of reoperation in TBS, however, there is a great need for more robust studies analysing this technique.

show abstract

“…a further recent comparative study has also reported on 89 patients treated with tBW, 38 patients treated with a plate, and 41 patients treated with tension suture fixation. 11 this study included a mix of olecranon fractures (n = 138) and olecranon osteotomies (n = 30). the reoperation rate for symptomatic implants was 36% for the tBW group, 11% for the plate group, and 0% for the suture fixation group.…”

Section: Management: Other Fixation Techniquesmentioning

confidence: 99%

“…tension-band wiring (tBW) has become a widely used fixation method for simple transverse displaced fractures with a stable elbow joint, with plating and suture fixation becoming increasingly popular alternative options. 1,[3][4][5][6]11 Plate fixation is considered superior in multifragmentary injuries, distal fractures and unstable injury patterns, fracture-dislocations, and/or osteoporotic bone, as it provides improved fracture fixation and a lower rate of reoperation. 1,2,12,13 a direct comparison of tBW and plate fixation has been the focus of prospective randomized controlled trials (rcts), particularly for stable simple displaced transverse fractures.…”

Section: Introductionmentioning

confidence: 99%

Olecranon fractures

Duckworth

Carter

Chen

et al. 2023

The Bone & Joint Journal

View full text Add to dashboard Cite

Despite being one of the most common injuries around the elbow, the optimal treatment of olecranon fractures is far from established and stimulates debate among both general orthopaedic trauma surgeons and upper limb specialists. It is almost universally accepted that stable non-displaced fractures can be safely treated nonoperatively with minimal specialist input. Internal fixation is recommended for the vast majority of displaced fractures, with a range of techniques and implants to choose from. However, there is concern regarding the complication rates, largely related to symptomatic metalwork resulting in high rates of implant removal. As the number of elderly patients sustaining these injuries increases, we are becoming more aware of the issues associated with fixation in osteoporotic bone and the often fragile soft-tissue envelope in this group. Given this, there is evidence to support an increasing role for nonoperative management in this high-risk demographic group, even in those presenting with displaced and/or multifragmentary fracture patterns. This review summarizes the available literature to date, focusing predominantly on the management techniques and available implants for stable fractures of the olecranon. It also offers some insights into the potential avenues for future research, in the hope of addressing some of the pertinent questions that remain unanswered. Cite this article: Bone Joint J 2023;105-B(2):112–123.

show abstract

Comparison of all suture fixation with tension band wiring and plate fixation of the olecranon

Cited by 17 publications

References 16 publications

Olecranon Fractures

Olecranon Fractures

Metal Tension-Band Wires vs Tension-Band Sutures in the Fixation of Olecranon Fractures: A Systematic Review

Olecranon fractures

Contact Info

Product

Resources

About