Genedi, M., Abdalkhalik, W., Abdelsamad, A. (2023). Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures. test, 4(1), 7-20. doi: 10.21608/ejmr.2022.104397.1157
Mahmoud Badawy Genedi; Waleed Said Abdalkhalik; Ayman Abdelbaset Abdelsamad. "Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures". test, 4, 1, 2023, 7-20. doi: 10.21608/ejmr.2022.104397.1157
Genedi, M., Abdalkhalik, W., Abdelsamad, A. (2023). 'Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures', test, 4(1), pp. 7-20. doi: 10.21608/ejmr.2022.104397.1157
Genedi, M., Abdalkhalik, W., Abdelsamad, A. Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures. test, 2023; 4(1): 7-20. doi: 10.21608/ejmr.2022.104397.1157

Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures

Egyptian Journal of Medical Research
Volume 4, Issue 1, January 2023, Pages 7-20    PDF (494.96 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2022.104397.1157
Authors
Mahmoud Badawy Genedi* 1; Waleed Said Abdalkhalik2; Ayman Abdelbaset Abdelsamad2
1Orthopedics Department, Beni-Suef Specialized Hospital, Egypt
2Orthopedic Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
Abstract
The goal of this study is to evaluate both functional and radiological outcomes in olecranon fractures management with both techniques; intramedullary screw and tension band wiring. 30 patients, with olecranon fracture mayo type IIA, were randomly grouped into two groups, 15 in each group. Group 1: fixed by intramedullary screw and group 2: fixed by tension band wiring. By comparison between types of fixation, regarding post-operative complication (loss of elbow motion, infection, loss of reduction, delayed or non-union and pain during movement) there was no statistically significant difference between types of fixation, but there was statistically significant increase hardware removal in K-wires method. Olecranon fracture fixation with intramedullary screw was as effective as K-wire with tension band in simple displaced olecranon fractures (Mayo type IIA) regarding functional and radiological outcomes. The complication rate was higher following K-wire fixation method due to a higher rate of implant removal in symptomatic patients.
Keywords
Intramedullary Screw; Tension Band wiring Fixation; Simple Displaced Olecranon Fractures
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