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Date Published: 25/04/2025
Abstract Views: 237
Views PDF: 71
DOI: 10.58490/ctump.2025i86.3575
Issue
No. 86 (2025)
Section
Article
How to Cite
Dao, T. D., Pham, D. N., Pham, V. M., Nguyen, L. H., Dang, P. G., Tac, H. L., Phan, C. L., Do, V. K., Truong, H. H., & Ho, T. G. (2025). SURGICAL OUTCOMES OF CLOSED OLECRANON FRACTURE TREATMENT USING TENSION BAND WIRING TECHNIQUE. Cantho Journal of Medicine and Pharmacy, 86, 43-48. https://doi.org/10.58490/ctump.2025i86.3575

SURGICAL OUTCOMES OF CLOSED OLECRANON FRACTURE TREATMENT USING TENSION BAND WIRING TECHNIQUE

Tien Dat Dao1, , Dang Ninh Pham2, Viet My Pham1,3, Le Hoan Nguyen1,3, Phuoc Giau Dang1,3, Hoang Long Tac4, Chi Linh Phan4, Van Khai Do4, Huu Hanh Truong1, Truong Giang Ho1
1 Can Tho University of Medicine and Pharmacy
2 Military Hospital 103
3 Hospital of Can Tho University of Medicine and Pharmacy
4 Can Tho Central General Hospital

Main Article Content

Abstract

Background: Olecranon fractures account for approximately 1% of all upper limb fractures and often require surgical intervention to restore elbow function. The two primary surgical techniques include tension band wiring and plate fixation. Objective: To evaluate the surgical outcomes of treating closed olecranon fractures using the tension band wiring technique at Can Tho Central General Hospital. Materials and methods: This study was conducted on 38 patients with olecranon fractures classified as type IIA, IIB, and IIIA according to the Mayo classification, treated from May 2023 to February 2025. Patients were followed for at least 6 months postoperatively. Outcomes were assessed based on radiographic evaluation and the Mayo Elbow Performance Score (MEPI). Results: The mean patient age was 44.74 ± 17.44 years, with a male-to-female ratio of 16:22. The primary cause of fractures was traffic accidents (68.5%). Type IIA fractures accounted for 86.9%, IIB for 10.5%, and IIIA for 2.6%. The mean surgical duration was 62.23 ± 8.11 minutes. According to Anderson’s 1975 criteria, 100% of patients achieved good to excellent bone healing outcomes (39.5% excellent, 60.5% good). The mean MEPI at 6 months postoperatively was 93.82 ± 8.17 points, with 15.8% rated as excellent, 81.6% as good, and 2.6% as fair. Early complications included 1 case of superficial surgical site infection (2.6%). Late complications included 2 cases of hardware prominence (5.2%) and 1 case of hardware exposure (2.6%). Conclusion: Tension band wiring for olecranon fractures provides good clinical outcomes, significantly improves elbow function, and has a low complication rate. 

Keywords

Closed olecranon fracture, tension band wiring, plate fixation

Article Details

References

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