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Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures

OBJECTIVES: This study aims to compare clinically and functionally patients who had previously undergone tension band wiring (TBW) or plate fixation (PF) procedure due to the diagnosis of Mayo type 2A olecranon fracture in our clinic. PATIENTS AND METHODS: Data of 92 patients (51 males, 41 females;...

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Autores principales: Çağlar, Ceyhun, Akçaalan, Serhat, Özaslan, Halil İbrahim, Yağar, Hilal, Uğurlu, Mahmut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073451/
https://www.ncbi.nlm.nih.gov/pubmed/33463422
http://dx.doi.org/10.5606/ehc.2021.75812
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author Çağlar, Ceyhun
Akçaalan, Serhat
Özaslan, Halil İbrahim
Yağar, Hilal
Uğurlu, Mahmut
author_facet Çağlar, Ceyhun
Akçaalan, Serhat
Özaslan, Halil İbrahim
Yağar, Hilal
Uğurlu, Mahmut
author_sort Çağlar, Ceyhun
collection PubMed
description OBJECTIVES: This study aims to compare clinically and functionally patients who had previously undergone tension band wiring (TBW) or plate fixation (PF) procedure due to the diagnosis of Mayo type 2A olecranon fracture in our clinic. PATIENTS AND METHODS: Data of 92 patients (51 males, 41 females; mean age 42.3±12.6 years; range, 16 to 75 years) operated on for olecranon fractures between January 2014 and December 2018 were recorded retrospectively. Forty-four patients received TBW and 48 patients received PF treatment. Their Disabilities of the Arm, Shoulder, and Hand (DASH) and Mayo scores and elbow range of motion (ROM) measurements were used for clinical and functional evaluations. Data including the time to return to work, revision rate, and follow-up time were also recorded. RESULTS: The mean follow-up time was 38.2±17.2 months. Patients returned to work in 9.2±4.1 weeks in the TBW group and 7.8±3.6 weeks in the PF group (p=0.279). The revision rate was 14% in the TBW group and 2% in the PF group (p=0.335). The mean DASH score was 10.0±1.8 in the TBW group and 7.7±1.2 in the PF group (p=0.001). The mean Mayo score was 84.0±9.3 in the TBW group and 88.3±9.1 in the PF group (p=0.049). For elbow flexion-extension ROM, 4° of difference was measured in favor of the PF group (p=0.043). Mean Mayo score, mean DASH score, and mean flexion-extension ROM values were statistically significantly different between the two groups. CONCLUSION: Both surgical techniques are suitable and reliable in the treatment of olecranon fractures. Although TBW treatment is low-cost and simple to apply, its biggest disadvantage is a high rate of secondary surgery for implant removal due to irritation of the skin.
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spelling pubmed-80734512021-04-26 Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures Çağlar, Ceyhun Akçaalan, Serhat Özaslan, Halil İbrahim Yağar, Hilal Uğurlu, Mahmut Jt Dis Relat Surg Original Article OBJECTIVES: This study aims to compare clinically and functionally patients who had previously undergone tension band wiring (TBW) or plate fixation (PF) procedure due to the diagnosis of Mayo type 2A olecranon fracture in our clinic. PATIENTS AND METHODS: Data of 92 patients (51 males, 41 females; mean age 42.3±12.6 years; range, 16 to 75 years) operated on for olecranon fractures between January 2014 and December 2018 were recorded retrospectively. Forty-four patients received TBW and 48 patients received PF treatment. Their Disabilities of the Arm, Shoulder, and Hand (DASH) and Mayo scores and elbow range of motion (ROM) measurements were used for clinical and functional evaluations. Data including the time to return to work, revision rate, and follow-up time were also recorded. RESULTS: The mean follow-up time was 38.2±17.2 months. Patients returned to work in 9.2±4.1 weeks in the TBW group and 7.8±3.6 weeks in the PF group (p=0.279). The revision rate was 14% in the TBW group and 2% in the PF group (p=0.335). The mean DASH score was 10.0±1.8 in the TBW group and 7.7±1.2 in the PF group (p=0.001). The mean Mayo score was 84.0±9.3 in the TBW group and 88.3±9.1 in the PF group (p=0.049). For elbow flexion-extension ROM, 4° of difference was measured in favor of the PF group (p=0.043). Mean Mayo score, mean DASH score, and mean flexion-extension ROM values were statistically significantly different between the two groups. CONCLUSION: Both surgical techniques are suitable and reliable in the treatment of olecranon fractures. Although TBW treatment is low-cost and simple to apply, its biggest disadvantage is a high rate of secondary surgery for implant removal due to irritation of the skin. Bayçınar Medical Publishing 2021-01-06 /pmc/articles/PMC8073451/ /pubmed/33463422 http://dx.doi.org/10.5606/ehc.2021.75812 Text en Copyright © 2021, Turkish Joint Diseases Foundation https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Article
Çağlar, Ceyhun
Akçaalan, Serhat
Özaslan, Halil İbrahim
Yağar, Hilal
Uğurlu, Mahmut
Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures
title Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures
title_full Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures
title_fullStr Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures
title_full_unstemmed Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures
title_short Comparison of tension band wiring and plate fixation in Mayo type 2A olecranon fractures
title_sort comparison of tension band wiring and plate fixation in mayo type 2a olecranon fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073451/
https://www.ncbi.nlm.nih.gov/pubmed/33463422
http://dx.doi.org/10.5606/ehc.2021.75812
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