![]() Despite advocates for alternative surgical techniques including intramedullary nailing and suture fixation, TBW fixation remains the standard management for simple isolated, displaced fractures of the olecranon (Mayo type 2A). Surgical intervention is necessary to achieve accurate reduction and rigid fixation in cases of unstable elbow joints and osteoarthritis. Most olecranon fractures involve the articular surface of the elbow joint, and uneven articular surfaces can cause limited elbow joints, traumatic arthritis and other complications. Olecranon fractures account for 1% of all upper extremity fractures, with an incidence rate of 11.5 to 12 per 100,000 population annually. Olecranon fracture skin#The olecranon is situated directly under the skin and is vulnerable to damage. When initially discussing the surgical approach with patients, physicians should fully weigh the possibility that TBW may lead to a second surgery due to the higher risk of internal fixation removal and that TBW won’t yield better functional outcomes than PF. Logistic regression analysis revealed that fracture type was an independent factor that affected the efficacy of a treatment (regression coefficient = − 1.24 0, OR = 10.77, P < 0.01), indicating that the risk of metalwork removal in the TBW Group was 10.77 times that in the PF Group. ![]() After propensity score matching analysis, similar primary treatment efficacy (indicated by MEPS> 90) in 2 groups and more primary adverse events (indicated by metalwork removal) were perceived in TBW than that in PF. The total adverse events rate and metalwork removal events rate are higher in TBW than that in PF. Resultsįunctional effects between two groups are similar (in terms of Mayo Elbow Performance Score (MEPS), the patients’ range of elbow motion (ROM) and forearm rotation (RFR), the time return to work (RTW)). Various demographic and treatment-related variables were examined and analyzed to determine their correlation. To conduct propensity score matching for the treatment method (TBW versus PF), 58 patients were analyzed by logistic regression (29 patients in each group). The patients were divided into either TBW ( n = 49) or PF ( n = 58) groups. MethodĪ total of 107 patients aged between 18 and 85 had acute isolated and displaced olecranon fractures. This is the first study to use propensity score matching analysis to compare treatment methods for olecranon fracture. The aim of this retrospective study is to compare the outcomes of tension band wiring (TBW) and plate fixation (PF) for treating displaced olecranon fractures. ![]() However, there is no agreement on which method provides the best outcome. Strengthening exercises are recommended to improve the range of motion.Traditional tension band wiring and plate fixation represent the commonest methods for treating olecranon fractures. Surgery is indicated in displaced and open fractures to realign the bones and stabilize the joint with screws, plates, pins and wires. Nonsurgical treatment options include pain medication, ice application, the use of a splint or a sling to immobilize the elbow during the healing process and physical therapy. The aim of treatment is to maximize early motion and to reduce the risk of stiffness. In some cases, a CT scan may be needed to view the details of the joint surface. To diagnose an elbow fracture X-rays of the joint are taken. ![]() Symptoms of an elbow fracture include pain, bruising, stiffness, swelling in and around the elbow, popping or cracking sound, numbness or weakness in the arm, wrist and hand, and deformity of the elbow bones. What are the symptoms of elbow fractures? Nerves and arteries in the joint may sometimes be injured in these fractures.
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