Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Functional and Radiological Outcome of Transverse Olecranon Fracture Treated with Tension Band Wiring: Prospective Study
M. Mohamed Syed Moosa, Zakir Hussain Mohamed, K.C. Mathew and Mohamed Sheriff
Page: 288-292 | Received 20 Apr 2024, Published online: 14 Jun 2024
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Abstract
Fractures of the olecranon account for up to 10 % of all upper extremities fractures. Displaced transverse olecranon fracture is one of the most common fracture that requires surgery in the elbow joint. Olecranon fractures are commonly caused by a direct blow to the elbow, fall from a height, motor vehicle accidents. Fredrick Pauwel stated the principle of Tension Band Wiring (TBW) in 1935, regarding treatment of avulsion fractures like Olecranon, Patella and Medial Malleolus. If a fracture has to unite, it requires mechanical stability, which is obtained by compression of the fracture fragments. The principle of Tension band wiring is conversion of tensile forces into compressive forces. In this study, we are going to determine whether the tension band wiring is still a gold standard treatment for transverse fractures of olecranon even after evolution of various new fixation techniques. We are determining the functional outcome of TBW in transverse fractures of olecranon using Mayo Elbow Performance Score. To study the functional and radiological outcome of Transverse Olecranon Fracture Treated With Tension Band Wiring. After getting institutional human ethical committee and research committee approval, This Prospective Study, Nonprobability sampling technique, the study was conducted among 20 patients in Sree Mookambika Institute of Medical Sciences, Kulasekharam, who were diagnosed to have transverse fractures of patella and olecranon. We included patients with age >18 years, both males and females with closed displaced transverse fractures of olecranon (Mayo classification type II‐A). We excluded patients with age <18 years, open fractures, mayo classification types I, II‐B and III of olecranon fractures any established deformity elbow prior to the fracture and ligament injuries associated with fracture. Patients were treated with Open Reduction and Internal Fixation with Tension Band Wiring. The patients were regularly followed up for a period of 6 months in regular intervals at 4, 8, 12 and 24 weeks. Functional outcome of olecranon was measured using Mayo Elbow Performance Score. The data collected was subjected to data entry in MS Excel. The data was analysed using SPSS ( SPSS inc IBM Chicago city, Illinois state, USA) Version 20.0 using Chi square test. In our study, the functional outcome was assessed by using Mayo Elbow Performance Score among 20 patients with olecranon fracture; Based on the score the patients were graded as Excellent, Good, Fair and Poor. According to this score, 13 (65%) patients had excellent outcome, 5 (25%) patients had Good outcome, 1 (5%) patient had fair and poor outcome each. Transverse fracture of olecranon can be effectively treated with Tension Band Wiring. It is relatively a simple, inexpensive procedure which gives excellent to good functional results. A good surgical technique, optimal operation room environment, and judicious use of antibiotics will reduce the possibility of infection which intended results in excellent functional outcome. Physiotherapy protocol also plays an important role to improve overall functional outcome to overcome the late complications However, more number of cases are needed to determine the long term complications.
How to cite this article:
M. Mohamed Syed Moosa, Zakir Hussain Mohamed, K.C. Mathew and Mohamed Sheriff. Functional and Radiological Outcome of Transverse Olecranon Fracture Treated with Tension Band Wiring: Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.288.292
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.288.292