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KMID : 0386420080210020130
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Journal of the Korean Fracture Society
2008 Volume.21 No. 2 p.130 ~ p.134
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Double Tension Band Wiring for Olecranon Fractures
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Kang Suk
Chung Phil-Hyun
Hwang Chung-Soo
Kim Jong-Pil
Kim Young-Sung
Chung Jin-Wook
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Abstract
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Purpose: To evaluate the clinical results of double tension band wiring for communited olecranon fractures involving proximal 1/3.
Materials and Methods: We reviewed 9 cases of communited olecranon fractures involving proximal 1/3 treated with double tension band wiring followed for minimum 10 months. There were 2 cases of olecranon fractures involving only proximal 1/3, 6 cases of olecranon fractures involving from proximal 1/3 to middle 1/3 and 1 case of olecranon fractures involving from proximal 1/3 to distal 1/3. We analyzed the bone union time, radiologic results for gap, reduction loss, pin migration, pain, range of motion, complications and functional outcomes at last follow up.
Results: All patients had solid bone union without additional surgery and average union time was 10.3 weeks. Anatomical reduction could be obtained in 8 of 9 cases but there was 1 mm step off in one case. 36 pins were used to fix the fractures, 1 pin of 18 distal pins and 2 pins of 18 proximal pins were migrated to backward but there was no reduction loss. Only 1 distal pin needed early removal due to skin irritation. Average range of motion ranged from flexion contracture 3.3o to further flexion 137.8o. On functional analysis, we got 8 cases of good result, 1 case of fair result and there was no poor result.
Conclusion: Double tension band wiring for comminuted olecranon fracture involving proximal 1/3 was concluded to give a firm fixation of the fracture site as bone union could be acquired without serious pin problems.
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KEYWORD
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Olecranon, Proximal communited fracture, Double tension band wiring
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