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- Title
Functional Outcomes Following Plating or Tension Band Wiring of Olecranon Fractures.
- Authors
Aslam, Nadim; Nair, Sunil; Ampat, George; Willett, Keith
- Abstract
Purpose: To evaluate the outcome following internal fixation of olecranon fractures using the techniques of tension band wiring and plating. Design: retrospective evaluation. Setting: regional trauma center. Patients and Methods: 48 consecutive patients with fractures of the olecranon were treated over a 20-month period (May 1993 to December 1994). Analyses of the results were based on the medical records, pre-and postoperative radiographs of all 48 patients and clinical review of 39 patients at a mean follow-up of > 2 years (range 28-48 months). Intervention: 25 fractures were fixed using the 40 tension band-wiring technique and 23 were fixed with a plate; the selection of method was based on agreed radiologic fracture-pattern criteria. Main outcome measurements: radiographic evaluation of the quality of reduction was carried out using a grading system. Clinical outcome was assessed using the Broberg & Morrey functional rating index. Results: Clinical evaluation of 39 patients was carried out. In the tension band-wiring group, 17 (85%) patients had an excellent or good outcome and eleven (55%) patients underwent a second procedure for symptomatic metalwork. In the plating group, 16 (84%) patients had an excellent or good outcome and two (11%) patients underwent a second procedure for symptomatic metalwork. The latter group had more complex and associated fractures and included the only poor result. Conclusion: Internal fixation of fractures of the olecranon results in good functional outcome. Patients who have tension band wiring more often require a second procedure for removal of symptomatic metal- work.
- Subjects
FUNNY bone; INTERNAL fixation in fractures; BONE wiring (Orthopedics); ORTHOPEDIC implants; BONE fractures; RADIOGRAPHY
- Publication
European Journal of Trauma, 2003, Vol 29, Issue 5, p273
- ISSN
1439-0590
- Publication type
Article
- DOI
10.1007/s00068-003-1274-8