Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures
Genedi, M., Abdalkhalik, W., Abdelsamad, A. (2023). Comparative Study between Intramedullary Screw versus Tension Band wiring Fixation for Simple Displaced Olecranon Fractures. EKB Journal Management System, 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". EKB Journal Management System, 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', EKB Journal Management System, 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. EKB Journal Management System, 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, Page 7-20  XML PDF (494.96 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2022.104397.1157
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Authors
Mahmoud Badawy Genedi email 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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