COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF OLECRANON FRACTURE TREATED WITH TENSION BAND WIRING AND CANNULATED COMPRESSIVE SCRE

Abstract

Olecranon fractures are one of the most commonly seen orthopaedic injuries in the emergency room. There are various types of management including non-operative, TBW using k wire, TBW using Cancellous screw, plating, intramedullary screw xation, olecranon excision (1). Our study is to compare functional outcome of two operative methods namely TBW and intramedullary CCS xation. 25 patients were retrospectively analysed and divided into two groups. Group A (n=13) patients were treated by TBW and group B (n=12) by CCS. All the cases were followed up and the results were analysed by using a Mayo Elbow Performance Index. The mean operation time in group Awas 46.63 minutes and 35.40 minutes in group B .The mean fracture union time in group A was 15.62 weeks (range 8–24 weeks), and 14.24 weeks in group B. Excellent results were achieved with 6.5mm CCS in 8(66.6%) patients while with TBW K wire 7(53.8%) patients, good results were achieved with 6.5mm CCS with Washer in 3(25%) patients while with TBW K wire 4(30.7%) patients fair results were achieved 6.5mm CCS in 1(8.33%) patients while with TBWK wire 2(15.38%) patients. The technique of close reduction and internal xation with CCS is as effective as open reduction and internal xation with T