Double Tension Band Wiring for Olecranon Fractures.
10.12671/jkfs.2008.21.2.130
- Author:
Suk KANG
1
;
Chung Soo HWANG
;
Phil Hyun CHUNG
;
Young Sung KIM
;
Jin Wook CHUNG
;
Jong Pil KIM
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Dongguk University, Gyeongju, Korea. kjpil@dongguk.ac.kr
- Publication Type:Original Article
- Keywords:
Olecranon;
Proximal communited fracture;
Double tension band wiring
- MeSH:
Contracture;
Humans;
Olecranon Process;
Range of Motion, Articular;
Skin
- From:Journal of the Korean Fracture Society
2008;21(2):130-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical results of double tension band wiring for communited olecranon fractures involving proximal 1/3. MATERIALS AND METHODS: We reviewed 9 cases of communited olecranon fractures involving proximal 1/3 treated with double tension band wiring followed for minimum 10 months. There were 2 cases of olecranon fractures involving only proximal 1/3, 6 cases of olecranon fractures involving from proximal 1/3 to middle 1/3 and 1 case of olecranon fractures involving from proximal 1/3 to distal 1/3. We analyzed the bone union time, radiologic results for gap, reduction loss, pin migration, pain, range of motion, complications and functional outcomes at last follow up. RESULTS: All patients had solid bone union without additional surgery and average union time was 10.3 weeks. Anatomical reduction could be obtained in 8 of 9 cases but there was 1 mm step off in one case. 36 pins were used to fix the fractures, 1 pin of 18 distal pins and 2 pins of 18 proximal pins were migrated to backward but there was no reduction loss. Only 1 distal pin needed early removal due to skin irritation. Average range of motion ranged from flexion contracture 3.3 degrees to further flexion 137.8 degrees. On functional analysis, we got 8 cases of good result, 1 case of fair result and there was no poor result. CONCLUSION: Double tension band wiring for comminuted olecranon fracture involving proximal 1/3 was concluded to give a firm fixation of the fracture site as bone union could be acquired without serious pin problems.
