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Journals / Acta Orthopaedica et Traumatologica Turcica / 2015 / Cilt: 49 - Sayı: 6

Tension band wiring through double-cannulated screws as a new internal fixation method for treatment of olecranon fractures:a randomized comparative study

Qi-feng LU
Gen-ling TANG
Xi-jiang ZHAO
Wen-jie ZHANG
Shu-guang GUO
Hang-zhou WANG
Pages
654–660
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The rate of elbow function in the double-screw TBW group (29/42, 69.05%) was higher than that of the conventional TBW group (16/46, 34.78%) (p=0.000).Conclusion: In comparison with conventional TBW, TBW with double-cannulated screws can significantly reduce complications, lower reoperation rate, improve elbow function, shorten healing time, as well as diminish surgical trauma.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to assess the therapeutic effects and complications of tension band wiring (TBW) through the use of double-cannulated screws versus conventional TBW in the treatment of olecranon fractures.Methods: Eligible participants were randomly assigned to 2 groups to undergo different methods of fixation.
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Key Findings & Data:The related indices and data of the 2 groups were collected for comparative analysis after an average follow-up of 32.7±6.6 months.Results: Average fracture healing time was 11.4 weeks in the double-screw TBW group and 12.6±1.8 weeks in the conventional TBW group (p=0.000).
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Conclusion & Impact:The rate of elbow function in the double-screw TBW group (29/42, 69.05%) was higher than that of the conventional TBW group (16/46, 34.78%) (p=0.000).Conclusion: In comparison with conventional TBW, TBW with double-cannulated screws can significantly reduce complications, lower reoperation rate, improve elbow function, shorten healing time, as well as diminish surgical trauma.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to assess the therapeutic effects and complications of tension band wiring (TBW) through the use of double-cannulated screws versus conventional TBW in the treatment of olecranon fractures.Methods: Eligible participants were randomly assigned to 2 groups to undergo different methods of fixation. The related indices and data of the 2 groups were collected for comparative analysis after an average follow-up of 32.7±6.6 months.Results: Average fracture healing time was 11.4 weeks in the double-screw TBW group and 12.6±1.8 weeks in the conventional TBW group (p=0.000). There was significant difference in complications related to fixation between the 2 groups. In the double-screw TBW group (42 patients), 2 patients felt screw head prominence with no pain and requested no further intervention; in contrast, 21 patients experienced complications associated with internal fixation in the conventional TBW group. Mean Mayo Elbow Performance Score (MEPS) score was 87.90±6.0 in the double-screw TBW group, compared to 83.67±6.6 in the conventional TBW group at 24-month follow-up (p=0.002). The rate of elbow function in the double-screw TBW group (29/42, 69.05%) was higher than that of the conventional TBW group (16/46, 34.78%) (p=0.000).Conclusion: In comparison with conventional TBW, TBW with double-cannulated screws can significantly reduce complications, lower reoperation rate, improve elbow function, shorten healing time, as well as diminish surgical trauma.

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Cite This Article

LU, Q., TANG, G., ZHAO, X., ZHANG, W., GUO, S., WANG, H. (2015). Tension band wiring through double-cannulated screws as a new internal fixation method for treatment of olecranon fractures:a randomized comparative study. Acta Orthopaedica et Traumatologica Turcica, Cilt: 49 - Sayı: 6, 654–660. https://ajindex.com/articles/212554

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