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Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study
AIM: To compare the clinical and radiological outcomes of fixation of olecranon fractures by a transcortical screw with conventional tension band wiring (TBW) using a Kirschner wire (K-wire). MATERIALS AND METHODS: This is a non-blinded randomised controlled trial comprising two groups (n = 30 each)...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Jaypee Brothers Medical Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121108/ https://www.ncbi.nlm.nih.gov/pubmed/34025792 http://dx.doi.org/10.5005/jp-journals-10080-1510 |
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author | Sinha, Siddhartha Maharjan, Rajiv Khanal, Guru P Pokharel, Bishnu Drolia, Nikhil Gupta, Sumit Kanojia, Rajesh K Chaudhary, Pashupati |
author_facet | Sinha, Siddhartha Maharjan, Rajiv Khanal, Guru P Pokharel, Bishnu Drolia, Nikhil Gupta, Sumit Kanojia, Rajesh K Chaudhary, Pashupati |
author_sort | Sinha, Siddhartha |
collection | PubMed |
description | AIM: To compare the clinical and radiological outcomes of fixation of olecranon fractures by a transcortical screw with conventional tension band wiring (TBW) using a Kirschner wire (K-wire). MATERIALS AND METHODS: This is a non-blinded randomised controlled trial comprising two groups (n = 30 each) with Mayo type A olecranon fractures fixed with either TBW or transcortical cancellous screws (CCS). Outcomes included the Mayo elbow performance index (MEPI), time to union, range of motion (ROM), and rates of complication among these two groups. RESULTS: Most of the patients showed excellent scoring as per MEPI in both the groups at 6 weeks (90% in TBW group and 76.7% in CCS group) and were not significant (p = 0.719). Signs of the radiological union were noted in 80% of the cases at 6 weeks and complete at 6 months. Hardware-related complications (8.3% symptomatic hardware and 6.7% implant back-out), infection, and mean ROM were similar between the two groups (elbow flexion was 142.33 ± 24.67° in TBW group and 143.1 ± 10.19° in transcortical screw group, p = 0.246) at the end of the study. CONCLUSION: There were no statistically significant differences in the clinical–radiological outcomes and complications fixing the non-comminuted olecranon fractures with either transcortical screw or TBW. CLINICAL SIGNIFICANCE: Transcortical screw fixation is an acceptable alternative to TBW for non-comminuted olecranon fractures in terms of union and functional outcome. HOW TO CITE THIS ARTICLE: Sinha S, Maharjan R, Khanal GP, et al. Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study. Strategies Trauma Limb Reconstr 2020;15(3):131–137. |
format | Online Article Text |
id | pubmed-8121108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Jaypee Brothers Medical Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-81211082021-05-20 Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study Sinha, Siddhartha Maharjan, Rajiv Khanal, Guru P Pokharel, Bishnu Drolia, Nikhil Gupta, Sumit Kanojia, Rajesh K Chaudhary, Pashupati Strategies Trauma Limb Reconstr Original Article AIM: To compare the clinical and radiological outcomes of fixation of olecranon fractures by a transcortical screw with conventional tension band wiring (TBW) using a Kirschner wire (K-wire). MATERIALS AND METHODS: This is a non-blinded randomised controlled trial comprising two groups (n = 30 each) with Mayo type A olecranon fractures fixed with either TBW or transcortical cancellous screws (CCS). Outcomes included the Mayo elbow performance index (MEPI), time to union, range of motion (ROM), and rates of complication among these two groups. RESULTS: Most of the patients showed excellent scoring as per MEPI in both the groups at 6 weeks (90% in TBW group and 76.7% in CCS group) and were not significant (p = 0.719). Signs of the radiological union were noted in 80% of the cases at 6 weeks and complete at 6 months. Hardware-related complications (8.3% symptomatic hardware and 6.7% implant back-out), infection, and mean ROM were similar between the two groups (elbow flexion was 142.33 ± 24.67° in TBW group and 143.1 ± 10.19° in transcortical screw group, p = 0.246) at the end of the study. CONCLUSION: There were no statistically significant differences in the clinical–radiological outcomes and complications fixing the non-comminuted olecranon fractures with either transcortical screw or TBW. CLINICAL SIGNIFICANCE: Transcortical screw fixation is an acceptable alternative to TBW for non-comminuted olecranon fractures in terms of union and functional outcome. HOW TO CITE THIS ARTICLE: Sinha S, Maharjan R, Khanal GP, et al. Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study. Strategies Trauma Limb Reconstr 2020;15(3):131–137. Jaypee Brothers Medical Publishing 2020 /pmc/articles/PMC8121108/ /pubmed/34025792 http://dx.doi.org/10.5005/jp-journals-10080-1510 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. https://creativecommons.org/licenses/by-nc/4.0/© Jaypee Brothers Medical Publishers. 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Article Sinha, Siddhartha Maharjan, Rajiv Khanal, Guru P Pokharel, Bishnu Drolia, Nikhil Gupta, Sumit Kanojia, Rajesh K Chaudhary, Pashupati Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study |
title | Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study |
title_full | Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study |
title_fullStr | Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study |
title_full_unstemmed | Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study |
title_short | Comparison of Functional and Radiological Outcomes of Olecranon Fractures Treated with Tension Band Wiring with Kirschner Wires to Transcortical Screw Fixation—A Randomised Controlled Study |
title_sort | comparison of functional and radiological outcomes of olecranon fractures treated with tension band wiring with kirschner wires to transcortical screw fixation—a randomised controlled study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121108/ https://www.ncbi.nlm.nih.gov/pubmed/34025792 http://dx.doi.org/10.5005/jp-journals-10080-1510 |
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