Low-Profile, Suture Anchor Tension Band Construct for Olecranon Fractures and Osteotomies

Abstract

Olecranon fractures are common and frequently require surgical intervention when they are displaced or unstable. Treatment is largely dictated by fracture type and surgeon preference. Traditional methods of fixation, including tension band wiring and locking plate fixation, have adequate union rates; however, both techniques are associated with increased reoperation rates due to symptomatic hardware. The aim of this article is to describe a technique using a lowprofile, suture anchor tension band construct for simple transverse olecranon fractures, triceps avulsions, and olecranon osteotomies. The goal of this technique is to produce stable fixation and allow early range of motion while mitigating the reoperation rate caused by symptomatic or prominent hardware with olecranon plate fixation during fracture and olecranon osteotomies.

Clinical study of suture anchors in the treatment of radial head fractures

“…(2) The suture anchor is small in design, deeply buried in the bone, needs no secondary operation, and is not limited by the safety area, which is convenient for the operation. (3) The tail thread of the suture anchor can cross each fracture block in multiple directions to form a resultant pressing force converging to the center [ 26 ], especially for Mason types II, III, and IV fractures with many blocks. It has its unique advantages.…”

Varus collapse following anterior closing wedge proximal tibial osteotomy for ACL revision reconstruction: a case series

“…This also creates a tension band‐like construct. It has been used for fixating osteotomies around the elbow and foot but has not previously been reported on for use with anterior closing wedge PTOs [2, 14, 18]. While this method avoids the issue of symptomatic hardware due to plates or staples, the authors do not recommend using this technique.…”