Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation
<b>Background</b>: Olecranon fractures are common injuries of the upper limb in adults. Simple displaced trasverse fractures are generally surgically treated with tension-band wiring (TBW) or plate fixation (PF). The purpose of this retrospective study is to compare the clinical-function...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/6/1815 |
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| author | Serena Maria Chiara Giardina Gianluca Testa Enrica Rosalia Cuffaro Mirko Domenico Castiglione Marco Sapienza Alessia Caldaci Pierluigi Cosentino Angelo Raffa Vito Pavone |
| author_facet | Serena Maria Chiara Giardina Gianluca Testa Enrica Rosalia Cuffaro Mirko Domenico Castiglione Marco Sapienza Alessia Caldaci Pierluigi Cosentino Angelo Raffa Vito Pavone |
| author_sort | Serena Maria Chiara Giardina |
| collection | DOAJ |
| description | <b>Background</b>: Olecranon fractures are common injuries of the upper limb in adults. Simple displaced trasverse fractures are generally surgically treated with tension-band wiring (TBW) or plate fixation (PF). The purpose of this retrospective study is to compare the clinical-functional outcome, complications and reoperation rates between TBW and PF for Mayo IIA fractures. <b>Methods</b>: 72 patients treated with PF or TBW at our institution, completed our survey and clinical evaluation and their demographic and clinical data were recorded and analysed. The clinical-functional outcomes were evaluated assessing ROMs and three validated scoring systems: the Disabilities of the Arm, Shoulder, and Hand (DASH), the Mayo Elbow Performance Score (MEPS) and the Patient American Shoulder and Elbow Surgeons Standardized Elbow Assessment score (pASES-e). <b>Results</b>: 38 patients (53%) underwent TBW and 34 (47%) PF. The mean DASH, MEPS and pASES-e scores were respectively 14.5 ± 17.2, 80.5 ± 14.7 and 83.6 ± 12.4 in the TBW group and 21 ± 21.7, 75.6 ± 15.3 and 75.1 ± 19.2 in the PF group (<i>p</i> = 0.16, <i>p</i> = 0.17 and <i>p</i> = 0.03). The mean duration of surgery and hospitalisation period were longer in the PF group (<i>p</i> = 0.002, <i>p</i> = 0.37) whereas the complication and reoperation rates were higher after TBW (<i>p</i> = 0.15, <i>p</i> = 0.24). <b>Conclusions</b>: According to the literature, both TBW and PF resulted comparable valid surgical options for the treatment of simple isolated displaced olecranon fractures. Our results corroborate previous findings, showing good/excellent outcomes without significant differences. |
| first_indexed | 2024-04-24T18:08:42Z |
| format | Article |
| id | doaj.art-f989c0bd275f439c981d351af7d473aa |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T18:08:42Z |
| publishDate | 2024-03-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f989c0bd275f439c981d351af7d473aa2024-03-27T13:48:23ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136181510.3390/jcm13061815Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire FixationSerena Maria Chiara Giardina0Gianluca Testa1Enrica Rosalia Cuffaro2Mirko Domenico Castiglione3Marco Sapienza4Alessia Caldaci5Pierluigi Cosentino6Angelo Raffa7Vito Pavone8Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U.P. Policlinico Rodolico–San Marco, University of Catania, 95123 Catania, Italy<b>Background</b>: Olecranon fractures are common injuries of the upper limb in adults. Simple displaced trasverse fractures are generally surgically treated with tension-band wiring (TBW) or plate fixation (PF). The purpose of this retrospective study is to compare the clinical-functional outcome, complications and reoperation rates between TBW and PF for Mayo IIA fractures. <b>Methods</b>: 72 patients treated with PF or TBW at our institution, completed our survey and clinical evaluation and their demographic and clinical data were recorded and analysed. The clinical-functional outcomes were evaluated assessing ROMs and three validated scoring systems: the Disabilities of the Arm, Shoulder, and Hand (DASH), the Mayo Elbow Performance Score (MEPS) and the Patient American Shoulder and Elbow Surgeons Standardized Elbow Assessment score (pASES-e). <b>Results</b>: 38 patients (53%) underwent TBW and 34 (47%) PF. The mean DASH, MEPS and pASES-e scores were respectively 14.5 ± 17.2, 80.5 ± 14.7 and 83.6 ± 12.4 in the TBW group and 21 ± 21.7, 75.6 ± 15.3 and 75.1 ± 19.2 in the PF group (<i>p</i> = 0.16, <i>p</i> = 0.17 and <i>p</i> = 0.03). The mean duration of surgery and hospitalisation period were longer in the PF group (<i>p</i> = 0.002, <i>p</i> = 0.37) whereas the complication and reoperation rates were higher after TBW (<i>p</i> = 0.15, <i>p</i> = 0.24). <b>Conclusions</b>: According to the literature, both TBW and PF resulted comparable valid surgical options for the treatment of simple isolated displaced olecranon fractures. Our results corroborate previous findings, showing good/excellent outcomes without significant differences.https://www.mdpi.com/2077-0383/13/6/1815olecranontension-band wiringplatefractureclinical-functional outcomerange of motion |
| spellingShingle | Serena Maria Chiara Giardina Gianluca Testa Enrica Rosalia Cuffaro Mirko Domenico Castiglione Marco Sapienza Alessia Caldaci Pierluigi Cosentino Angelo Raffa Vito Pavone Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation Journal of Clinical Medicine olecranon tension-band wiring plate fracture clinical-functional outcome range of motion |
| title | Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation |
| title_full | Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation |
| title_fullStr | Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation |
| title_full_unstemmed | Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation |
| title_short | Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation |
| title_sort | surgical treatment for simple isolated and displaced olecranon fractures comparison between plate and tension band wire fixation |
| topic | olecranon tension-band wiring plate fracture clinical-functional outcome range of motion |
| url | https://www.mdpi.com/2077-0383/13/6/1815 |
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