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Volume 6 Issue 2 ( February ) 2017

Original Articles

Comparison of management in Olecranon fractures by Tension band wiring versus Transcortical screw fixation procedure
Dr. Ashish Sharma

Background:Olecranon fractures are relatively common injuries, accounting for approximately 10% of upper extremity fractures in adults. Hence; the present study was conducted for comparing the management in Olecranon fractures by Tension band wiring versus Transcortical screw fixation procedure. Materials & methods:The prospective randomized study was conducted on 20 patients with olecranon fractures. Patients were divided in 2 groups 1 and 2. Group 1 patients were managed by Tension band wiring and Group 2 patients were managed by Transcortical screw fixation.The limb was kept elevated in posterior slab for the first two days.Initial follow up was done at 1, 4 and 6 weeks after discharge and then subsequently every 2 months. All patients were followed up for 6 months. Results:Mean duration of surgery among the patients of the tension band wiring group and transcortical screw fixation group was 38.3 minutes and 49.4 minutes respectively. While comparing the mean duration of surgery among the patients of both the study groups, significant results were obtained.Mean time for complete union among the patients of tension band wiring group and transcortical screw fixation group was 11.3 days and 10.8 days respectively. Non- significant results were obtained while comparing the mean time for complete union among the two study groups.While assessing and comparing the outcome in between the two study groups, non-significant results were obtained. Conclusion:Tension band wiring showed better results.

 
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