Simple and comminuted displaced olecranon fractures: a clinical comparison between tension band wiring and plate fixation techniques

Tarallo, Luigi; Mugnai, Raffaele; Adani, Roberto; Capra, Francesco; Zambianchi, Francesco; Catani, Fabio

doi:10.1007/s00402-014-2021-9

Cited by 73 publications

(63 citation statements)

References 34 publications

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“…The flexion of the elbow was recorded by three included researches [10, 11, 17]. Figure 5 showed that the flexion of the elbow did not have a significant difference between TBW and PF (SMD = −0.06, 95% CI = −0.52 to 0.39, p = 0.78).…”

Section: Resultsmentioning

confidence: 99%

“…The extension of the elbow was reported in 3 studies [10, 11, 17] with 204 patients. There was no significant difference in extension of the elbow between the two groups (SMD = −0.20, 95% CI = −0.47 to 0.08, p = 0.17) in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The pronation of the forearm of treated patients was acquired from three included studies [10, 11, 17]. Although the pooled results exhibited no statistically significant difference between TBW and PF (SMD = 0.20, 95% CI = −0.08 to 0.47, p = 0.16) (Fig.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy and safety of tension band wiring versus plate fixation in olecranon fractures: a systematic review and meta-analysis

et al. 2016

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BackgroundOlecranon fracture (OF) is a common upper limb fracture, and the most commonly used techniques are still tension band wiring (TBW) and plate fixation (PF). The aim of the current study is to discuss whether TBW or PF technique of internal fixation is better in the treatment of OFs, using the method of meta-analysis.MethodsThe eligible studies were acquired from PubMed, CNKI, Embase, Cochrane Library, and other sources. The data were extracted by two of the coauthors independently and were analyzed by RevMan5.3. Standardized mean differences (SMDs), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. Cochrane Collaboration’s Risk of Bias Tool and Newcastle–Ottawa Scale were used to assess risk of bias.ResultsThirteen studies including 1 RCT and 12 observational studies were assessed. Our meta-analysis results showed that both in RCT and observational studies, there were no significant differences between the two groups in disabilities of the arm, shoulder and hand (DASH) (SMD = 0.07, 95% CI = −0.32 to 0.46, p = 0.73), improvement rate (OR = 0.76, 95% CI = 0.48–1.22, p = 0.26), range of motion (ROM), operation time (SMD = −0.51, 95% CI = −1.17 to 0.14, p = 0.12) and blood loss (SMD = −0.97, 95% CI = −2.06 to 0.11, p = 0.08). The overall estimate of complications indicated that the pooled OR was 2.61 (95% CI = 1.65–4.14, p < 0.0001), suggesting that the difference was statistically significant. We also compared the outcomes of patients with mayo type IIA OFs treated by TBW and PF in DASH and ROM and found no differences.ConclusionsBoth TBW and PF interventions had treatment benefit in OFs. The current study reveals that there are no significant differences in DASH, improvement rate, ROM, operation time, and blood loss between TBW and PF for OFs. Due to the less complications, we recommend the PF approach as the optical choice for OFs. More high-quality studies are required to further confirm our results.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Efficacy and safety of tension band wiring versus plate fixation in olecranon fractures: a systematic review and meta-analysis

et al. 2016

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“…Bununla birlikte, parçalı kırıklar için plak vida ile fiksasyon öneren yayınlar olmakla beraber, maliyeti ve kendine has komplikasyonları nedeniyle bu tip kırıklarda da gergi bandı tekniğini önerenler de mevcuttur (5) .…”

Section: Discussionunclassified

Comparison of Plate Osteosynthesis and Tension Band Technic in Simple and Comminucated Olecranon Fractures

Gökçay¹,

Çabuk²,

Kalkar³

et al. 2016

Okmeydani Medical Journal

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“…Operative fixation of displaced olecranon fractures achieves union and excellent elbow function but is associated with reoperation, usually for implant removal [8,20,21]. A substantial rate of second surgeries to remove tension band wires led orthopaedic surgeons to consider alternatives such as plate fixation [14] or intramedullary screws or rods [13] for olecranon fractures [3,7].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

Claessen

Braun

Peters

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Surgery for fixation of olecranon fractures is associated with reoperation, mostly for implant removal. A study of a large cohort of patients treated by many different surgeons allows us to determine if specific techniques or implants are associated with a higher rate of reoperation. Questions/purposes After open reduction and internal fixation of isolated olecranon fractures, what factors are associated with (1) reoperation and (2) implant removal? Methods Three hundred ninety-two adult patients who had operative treatment of a displaced olecranon fracture not associated with other fractures, dislocation, or subluxation at two area hospitals between January 2002 and May 2014 were analyzed to determine factors associated with reoperation. One hundred thirty-eight (35%) patients had plate and screw fixation and 254 (65%) tension band wiring. Nearly 100% of patients with displaced olecranon fractures are currently treated operatively at our hospitals. All patients were followed for at least four months. Two hundred three of the 392 (52%) patients were followed for one year or more. Ninety-nine patients (25%) had a second operation, 92 (93%) at least in part for implant removal (12 for wire migration [3% of all fractures, 12% of reoperations]). We considered patient-related, fracture-related, and implant-related endpoints as possible factors associated with reoperation. With a total sample size of 99 reoperations, an a of 0.05, and an effect size of 0.3, we had 87% power.One of the authors (DR) received grants from Skeletal Dynamics (Miami, FL, USA) in the amount of USD 10,000 to USD 100,000, other from Wright Medical (Memphis, TN, USA) in the amount of less than USD 10,000, personal fees from Biomet (Warsaw, IN, USA) in the amount of less than USD 10,000, personal fees from Acumed (Hillsboro, OR, USA) in the amount of less than USD 10,000), other from IlluminOss Medical, Inc (East Providence, RI, USA; stock options only), personal fees as Deputy Editor for the Journal of Hand Surgery (less than USD 10,000), personal fees as Deputy Editor for Clinical Orthopaedics and Related Research 1 (less than USD 10,000), personal fees from universities and hospitals (less than USD 10,000), and personal fees from lawyers (less than USD 10,000) outside the submitted work. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDAapproval status, of any drug or device prior to clinical use. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123Clin Orthop Relat Res (2016) 474:193-200 ...

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Simple and comminuted displaced olecranon fractures: a clinical comparison between tension band wiring and plate fixation techniques

Cited by 73 publications

References 34 publications

Efficacy and safety of tension band wiring versus plate fixation in olecranon fractures: a systematic review and meta-analysis

Efficacy and safety of tension band wiring versus plate fixation in olecranon fractures: a systematic review and meta-analysis

Comparison of Plate Osteosynthesis and Tension Band Technic in Simple and Comminucated Olecranon Fractures

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

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