PROSPECTIVE RANDOMISED COMPARATIVE STUDY OF TENSION BAND WIRING AND OLECRANON PLATING FOR TREATMENT OF OLECRANON FRACTURES

Abstract

Introduction- Olecranon fractures are one of the most commonly seen orthopedic injuries and account for approximately 10% of all proximal . forearm fractures. Operative treatment is open advocated in fractures with an articular incongruity of more than 2 mm, hence only a minority of patients are treated conservatively. The purpose of current study is to compare the clinical and radiological outcome of tension band wiring and plate xation in patients operated for olecranon fractures. Materials and methods- Current study was conducted in a tertiary care center from December 2018 to December 2020. Study compromises of 50 patients operated for olecranon fracture. Implant used -tension band wiring with 2 k wire ,1 ss wire and olecranon plate Classification used - Schatzker classication Clinical and functional outcome were assessed using mayo elbow performance score Results and observations- Study consists of 50 cases of fractures of the olecranon treated by Tension band wiring with Kirshner wire and Olecranon plate. The results were evaluated according to the Mayo elbow performance score. The results obtained in our series were excellent in 41 (82%) patients, good in 6 (12%) patients, fair in 3 (6%) patients and no poor results. Conclusion-it is concluded that the technique of open reduction and internal xation with Kirschner wires and tension band wiring and olecranon plate xation are effective means of treating fractures of olecranon.