Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures
Abstract Background Olecranon fractures account for 8 ∼ 10% of all elbow fractures and usually require surgical intervention. Tension band wiring (TBW) is considered as the standard treatment while it is associated with high re-operation rates. Objective This study aims to compare the functional out...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-05528-2 |
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| author | Jianyu Zhang Xigong Zhang Kehan Hua Chen Chen Maoqi Gong Yejun Zha Xieyuan Jiang |
| author_facet | Jianyu Zhang Xigong Zhang Kehan Hua Chen Chen Maoqi Gong Yejun Zha Xieyuan Jiang |
| author_sort | Jianyu Zhang |
| collection | DOAJ |
| description | Abstract Background Olecranon fractures account for 8 ∼ 10% of all elbow fractures and usually require surgical intervention. Tension band wiring (TBW) is considered as the standard treatment while it is associated with high re-operation rates. Objective This study aims to compare the functional outcomes, complications and re-operations of hook plate fixation (HPF) versus TBW in treating Mayo Type II olecranon fractures. Methods A retrospective cohort study was conduct at Beijing Jishuitan Hospital. Medical records from May 2020 to April 2021 were reviewed. Functional outcomes, complications, and re-operations were assessed during the follow-up. Results A total number of 62 patients were included, with a number of 27 undergoing HPF and 35 receiving TBW. The HPF group and the TBW group achieved similar range of motion (ROM), the Mayo Elbow Performance Score (MEPS), and the Disabilities of the Arm, Shoulder, and Hand (DASH) scores (P > 0.05). The HPF group had a significantly lower re-operation rate (44.4% vs. 80.0%, P < 0.01) comparing to the TBW group. Conclusion Hook plate fixation can be considered as a viable alternative to tension band wiring, offering similar functional outcomes and complication rates but significantly lower re-operation rates. |
| format | Article |
| id | doaj-art-8627235ecc024715b2559c455279c77a |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-8627235ecc024715b2559c455279c77a2025-02-02T12:34:10ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011710.1186/s13018-025-05528-2Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fracturesJianyu Zhang0Xigong Zhang1Kehan Hua2Chen Chen3Maoqi Gong4Yejun Zha5Xieyuan Jiang6Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityDepartment of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical UniversityAbstract Background Olecranon fractures account for 8 ∼ 10% of all elbow fractures and usually require surgical intervention. Tension band wiring (TBW) is considered as the standard treatment while it is associated with high re-operation rates. Objective This study aims to compare the functional outcomes, complications and re-operations of hook plate fixation (HPF) versus TBW in treating Mayo Type II olecranon fractures. Methods A retrospective cohort study was conduct at Beijing Jishuitan Hospital. Medical records from May 2020 to April 2021 were reviewed. Functional outcomes, complications, and re-operations were assessed during the follow-up. Results A total number of 62 patients were included, with a number of 27 undergoing HPF and 35 receiving TBW. The HPF group and the TBW group achieved similar range of motion (ROM), the Mayo Elbow Performance Score (MEPS), and the Disabilities of the Arm, Shoulder, and Hand (DASH) scores (P > 0.05). The HPF group had a significantly lower re-operation rate (44.4% vs. 80.0%, P < 0.01) comparing to the TBW group. Conclusion Hook plate fixation can be considered as a viable alternative to tension band wiring, offering similar functional outcomes and complication rates but significantly lower re-operation rates.https://doi.org/10.1186/s13018-025-05528-2Hook Plate FixationTension Band WiringOlecranon FractureRe-operation |
| spellingShingle | Jianyu Zhang Xigong Zhang Kehan Hua Chen Chen Maoqi Gong Yejun Zha Xieyuan Jiang Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures Journal of Orthopaedic Surgery and Research Hook Plate Fixation Tension Band Wiring Olecranon Fracture Re-operation |
| title | Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures |
| title_full | Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures |
| title_fullStr | Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures |
| title_full_unstemmed | Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures |
| title_short | Hook plate fixation and tension band wiring in the treatment of Mayo type II olecranon fractures |
| title_sort | hook plate fixation and tension band wiring in the treatment of mayo type ii olecranon fractures |
| topic | Hook Plate Fixation Tension Band Wiring Olecranon Fracture Re-operation |
| url | https://doi.org/10.1186/s13018-025-05528-2 |
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