SURGICAL OUTCOMES OF OLECRANON FRACTURE TREATMENT USING TENSION BAND WIRING TECHNIQUE AT VIET DUC HOSPITAL
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Abstract
Objective: To evaluate the surgical outcomes of olecranon fracture treatment using the tension band wiring technique at Viet Duc Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 68 patients with olecranon fractures who underwent surgical bone fixation using the tension band wiring method at Viet Duc Hospital from June 2021 to December 2023. Results: The average age was 41.2 ± 17.9 years, with a majority of male patients (67.7%). The primary cause of fracture was traffic accidents (61.8%). Fracture classification according to the Mayo classification showed a majority of type IIA and IIB fractures (67.65% and 20.59%, respectively), while types IA, IB, and IIIA accounted for 2.94%, 5.88%, and 2.94%, respectively. Associated injuries included ipsilateral elbow dislocation (2.94%), combined elbow dislocation with radial head fracture (1.47%), and coronoid process fracture (1.47%). Surgical outcomes: The average operative time was 65.28 ± 11.7 minutes. Radiographic evaluation showed no residual displacement in 94.12% of patients and complete bone union in 95.59%. The mean post-operative MEPS (Mayo Elbow Performance Score) was 89.6 ± 5.61, with outcomes rated as excellent (82.4%), good (14.7%), and fair (2.9%). Post-operative complications at 6 months included delayed bone union (2.94%), pin migration (2.94%), and osteoarthritis (1.47%). No statistically significant associations were found between fracture type and bone union (p > 0.05), rehabilitation center location, age group, associated injuries, and MEPS scores (p > 0.05). Conclusion: Surgical fixation using the tension band wiring technique for olecranon fractures provided good clinical outcomes, with significant improvement in elbow joint function and a low rate of postoperative complications.
Article Details
Keywords
Tension band wiring technique, olecranon fracture.
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