Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Surgical treatment for Simple Isolated and Displaced Olecranon Fractures: comparison between plate and Tension Band Wire Fixation

Serena Maria Chiara Giardina
,
Gianluca Testa
* ORCID logo ,
Enrica Rosalia Cuffaro
,
Mirko Domenico Castiglione
,
Marco Sapienza
ORCID logo ,
Alessia Caldaci
,
Pierluigi Cosentino
,
Angelo Raffa
,
Vito Pavone
ORCID logo
Version 1 : Received: 10 February 2024 / Approved: 12 February 2024 / Online: 12 February 2024 (12:15:15 CET)

A peer-reviewed article of this Preprint also exists.

Giardina, S.M.C.; Testa, G.; Cuffaro, E.R.; Castiglione, M.D.; Sapienza, M.; Caldaci, A.; Cosentino, P.; Raffa, A.; Pavone, V. Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation. J. Clin. Med. 2024, 13, 1815. Giardina, S.M.C.; Testa, G.; Cuffaro, E.R.; Castiglione, M.D.; Sapienza, M.; Caldaci, A.; Cosentino, P.; Raffa, A.; Pavone, V. Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation. J. Clin. Med. 2024, 13, 1815.

Abstract

Background: Olecranon fractures are common injuries of the upper limb in adults. Simple dis-placed trasverse fractures are generally surgically treated with tension-band wiring (TBW) or plate fixation (PF). The purpose of this retrospective study is to compare the clinical-functional outcome, complications and reoperation rates between TBW and PF for Mayo IIA fractures. Methods: 72 patients treated with PF or TBW at our institution, completed our survey and clinical evaluation and their demographic and clinical data were recorded and analysed. The clini-cal-functional outcomes were evaluated assessing ROMs and three validated scoring systems: the Disabilities of the Arm, Shoulder, and Hand (DASH), the Mayo Elbow Performance Score (MEPS) and the Patient American Shoulder and Elbow Surgeons Standardized Elbow Assess-ment score (pASES-e). Results: 38 patients (53%) underwent TBW and 34 (47%) PF. The mean DASH, MEPS and pASES-e scores were respectively 14.5±17.2, 80.5±14.7 and 83.6±12.4 in the TBW group and 21±21.7, 75.6±15.3 and 75.1±19.2 in the PF group (p=0.16, p=0.17 and p=0.03). The mean duration of surgery and hospitalisation period were longer in the PF group (p=0.002, p=0.37) whereas the complication and reoperation rates were higher after TBW (p=0.15, p=0.24). Conclusion: According to the literature, both TBW and PF resulted comparable valid surgical op-tions for the treatment of simple isolated displaced olecranon fractures, revealing that they both provide good/excellent outcomes with no significant differences.

Keywords

olecranon; tension-band wiring; plate; fracture; clinical-functional outcomes; range of motion; complications; reoperation

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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