K-wire position in tension-band wiring technique affects stability of wires and long-term outcome in surgical treatment of olecranon fractures

Linden, Sabine C. van der; Kampen, A. van; Jaarsma, Ruurd L.

doi:10.1016/j.jse.2011.07.022

Cited by 95 publications

(77 citation statements)

References 23 publications

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“…Our findings are consistent with those stated by Chalidiset al 13 and Lindenhoviuset al 14 and somewhat superior to that of Van der Linden et al 15 in terms of range of motion. Moreover flexion contracture or extension loss was found to somewhat similar as compared to most of the other studies.…”

Section: Discussionsupporting

confidence: 93%

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw

Bhattacharyya¹,

Frank²,

Hazarika³

et al. 2016

IOSR

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Section: Discussionsupporting

confidence: 93%

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw

Bhattacharyya¹,

Frank²,

Hazarika³

et al. 2016

IOSR

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“…Although the fracture healing and functional results are usually satisfactory, the frequent difficulties experienced by the patients, most commonly caused by the migration of the osteosynthetic material, substantially compromise this method and lead to an additional operation to remove the implant. [11][12][13][14][15] With the conventional olecranon plate, these disturbances are usually accompanied by an intense local reaction due to the use of a substantial quantity of osteosynthetic material (especially the use of many screws), which also causes a feeling of unease and often leads to the subsequent removal of the implant. For osteosynthesis with plate and screws, somewhat more frequent is a secondary dislocation of the proximal fragment with the loss of correct intra-articular relations.…”

Section: Resultsmentioning

confidence: 99%

“…Our goal was that 40% or more of our patients would have no marked subjective difficulties; this percentage is comparable to that for patients treated with tension band wiring or conventional plating. 15 We compared the results obtained in the present cohort with those of our control group.…”

Section: Outcome Measuresmentioning

confidence: 99%

Tension plate for treatment of olecranon fractures: new surgical technique and case series study

Lukšić

Jurić

Boschi

et al. 2015

cjs

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Background: Our aim was to determine the effectiveness of a new surgical technique for olecranon fractures using a tension plate (TP) designed by the operating surgeon. Methods:We included patients with olecranon fractures treated between September 2010 and August 2013 in our study. Treatment involved a new implant and operative technique, which combined the most favourable characteristics of 2 frequently used methods, tension band wiring and plate osteosynthesis, while eliminating their shortcomings. The new method was based on the newly constructed implant.Results: Twenty patients participated in our study. We obtained the following functional results with our TP: median flexion 147.5° (interquartile range [IQR] 130°-155°), median extension 135°/deficit 10° (IQR 135°-145°), median pronation 90° (IQR 81.3°-90°), median supination 90° (IQR 80°-90°). Implant-related complications were noted in 1 patient, and implants were removed in 3 patients. The mean functional Mayo elbow performance score was 94.8 (range 65-100). The removal of the implant was considerably less frequent in patients operated using the new method and implant than in patients operated using conventional methods at our institution (p < 0.001). Mean duration of follow-up was 8 months. Conclusion:Our TP for the treatment of olecranon fractures is safe and effective. Functional results are very good, with significantly decreased postoperative inconveniences and need to remove the implant. Less osteosynthetic material was used for TP construction, but stability was preserved.

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“…Tension band wiring technique is a widely accepted technique which yields good and excellent results (Linden et al, 2012;Villanueva et al, 2006). Transcortical placement of Kirshner wires serve more stable fracture fixation (Linden et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Bilateral isolated olecranon fractures after trauma: Report of two cases

Çıtlak¹,

Güzel²,

Kerimoğlu³

et al. 2014

jecm

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Article HistoryReceived 01 / 10 / 2013 Accepted 05 / 10 / 2013Olecranon fractures represent approximately 10% of all fractures around the elbow in adults. Olecranon fractures occur by a fall or blunt trauma on the posterior tip of elbow, or by the forces generated by triceps muscle during a fall. Olecranon fractures were seen as unilateral fractures, however bilateral olecranon fractures were seen as pathological fractures. Anatomic restoration of the articular surface, repair of the extensor mechanism and full range of motion with stability are the main goals of treatment in olecranon fractures. Operative management should be performed when there is any articular incongruity or extensor mechanism deficit. Tension band fixation, intramedullary fixation, plating and proximal fragment excision are the main operative techniques which were used for the olecranon fractures. In this study, we reported two cases of bilateral traumatic olecranon fractures in patients without any concomitant systemic disease. Tension band wiring technique was used for the treatment of bilateral olecranon fractures. We preferred transcortical tension band wiring because it serves adequate stabilization and fragment compression with minimal instrumentation. When we reviewed the literature, we could not find isolated bilateral olecranon fractures in a patient without any concomitant disease. Treatment and rehabilitation of bilateral fractures served successful results with tension band wiring as unilateral fractures.

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K-wire position in tension-band wiring technique affects stability of wires and long-term outcome in surgical treatment of olecranon fractures

Cited by 95 publications

References 23 publications

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw

Tension plate for treatment of olecranon fractures: new surgical technique and case series study

Bilateral isolated olecranon fractures after trauma: Report of two cases

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