K-Wire position in tension band wiring of the Olecranon — A comparison of two techniques

Mullett, J. Hannan; Shannon, Fintan J.; Noël, Jade; Lawlor, G.; Lee, T.C; O’Rourke, S. K.

doi:10.1016/s0020-1383(00)00014-0

Cited by 96 publications

(77 citation statements)

References 2 publications

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“…We regularly penetrated Kirschner wires into the opposite cortex of the ulna, since our earlier experience was in agreement with that reported in studies by Mullett and colleagues 19 and Huang and colleagues. 20 These studies showed that this procedure almost doubles the firmness of the construction itself.…”

Section: Resultssupporting

confidence: 86%

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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Section: Resultssupporting

confidence: 86%

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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“…Several studies found that a transcortical fixation results in higher stability and a lower rate of wire migration [10,23,24]. Therefore, transcortical fixation is recommended.…”

Section: Mayo Clinic Classificationmentioning

confidence: 99%

Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection

Schneider

Nowak

Bastian

et al. 2013

International Orthopaedics (SICOT)

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Purpose The tension band wiring (TBW) technique is a common treatment for the fixation of olecranon fractures with up to three fragments. The literature and surgeons describe TBW as an uncomplicated, always available and convenient operation producing excellent results. The purpose of this study was to determine whether TBW is more ambitious than believed or the procedure provides an increased level of tolerance concerning the surgical technique. Methods This study reviewed 239 TBW cases in patients with olecranon fractures or osteotomies. We reviewed a total of 2,252 X-rays for ten operative imperfections: (1) nonparallel K-wires, (2) long K-wires, (3) K-wires extending radially outwards, (4) insufficient fixation of the proximal ends of the K-wires, (5) intramedullary K-wires, (6) perforation of the joint surface, (7) single wire knot, (8) jutting wire knot(s), (9) loose figure-of-eight configuration, and (10) incorrect repositioning. Results On average, there were 4.24 imperfections per intervention in the cases reviewed. A total of 1,014 of 2,390 possible imperfections were detected. The most frequent imperfections were insufficient fixation of the proximal ends of the K-wires (91 % of all cases), the use of a single wire knot (78 %) and nonparallel K-wires (72 %). Mayo IIa (n =188) was the most common fracture type.Conclusions Our results and the number of complications described by the literature together support the conclusion that TBW is not as easy as surgeons and the literature suggest. Although bone healing and the functional results of TBW are excellent in most cases, the challenges associated with this operation are underestimated.Level of Evidence: IV, treatment study

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“…7 In addition, Mullett et al (2000) studied the effect of K-wire position on backing out of Kwires in a group of 80 patients with closed transverse olecranon fractures with a minimum follow-up time of 9 months. 22 The rate of wires backing out (as seen on Xray) was three times greater in patients who had K-wires passed down the long axis of the ulna rather than the AO recommendation of across the anterior cortex.…”

Section: Discussionmentioning

confidence: 92%

Tension band wire fixation in olecranon fractures: a retrospective study

et al. 2016

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K-Wire position in tension band wiring of the Olecranon — A comparison of two techniques

Cited by 96 publications

References 2 publications

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

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

Tension band wiring in olecranon fractures: the myth of technical simplicity and osteosynthetical perfection

Tension band wire fixation in olecranon fractures: a retrospective study

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