Abstract

The aim of this study was to compare the results of surgically treating olecranon fractures using tension band wire versus plate fixation. Due to more complicated injuries, we hypothesise that plate fixation patients would have much worse outcomes. Methodology: This retrospective cohort analysis recruited 108 patients with isolated olecranon fractures who underwent surgery. There were 40 patients, of whom 20 had received tension band wiring treatment, and 20 had received plating fixation treatment. The Weseley Score is an active grading system that assigns consequences into three categories, from superb to fair, based on information concerning discomfort and loss of function. The intensity of pain, range of mobility, stability, and everyday function are all considered by the Mayo Elbow Performance Score (MEPS), a mixed subjective and objective grading score. Results: The two fracture types with the highest prevalence, according to the Mayo classification, were a 2b-type fracture in the plate fixation group (70%) and a 2a-type fracture in the tension band wiring group (80%). The tension band wiring group had 70% more "A" fractures than the plate fixation group, which had 45% more "D" fractures, according to the Schatzker classification. The mean hospitalization duration of tension band wiring group was comparitively high than plate fixation (10.9 ± 9.6 vs 7.8 ± 9.8). The median DASH Score for the TBW group was 7.8 (3.5-13.6), whereas for the plate fixation group it was 12.3 (5.4-24.7). In 21 instances, the Wesley Score showed extraordinary performance. In contrast to nine cases and eight patients in the TBW group, nine cases in the PF group showed remarkable results. Conclusion: In conclusion, both treatments depend on several elements, such as physical prerequisites, bone quality, and fracture patterns, to be successful. We predicted that individuals with PF would have far worse functional outcomes from more challenging surgical procedures and traumas. The extensive plate-fixing practice had no discernible harmful effects.

Description