Evaluation of functional outcome of tension band wiring in olecranon fractures and factors affecting the overall functional outcome

Abstract

Aim: The aim of this study is to evaluate the functional outcomes of olecranon fractures treated with tension band wiring and factors affecting it. Materials and methods: this study consisted of 30 patients with olecranon fractures aged between 18-48 years. Minimum follow up of 1 year was done. Results were assessed radiologically and clinically using mayo elbow performance score. Also some factors that affected the outcome were also noted. Result: mean postoperative range of motion after tension band wiring was 1080 (range 800-1400). Functional outcome was excellent in 18, good in 8, fair in 2 and poor in 2 according to the Mayo elbow performance score (MEPS). The average time taken for union was 7 weeks (range 4-12 weeks). Young men with non comminuted, transverse facture, with small proximal fragment of olecranon and those compliant to early physiotherapy showed better outcomes Conclusion: Tension band wiring is effective method of fixation in terms of union and elbow movements. Factors like age sex compliance to physiotherapy and type of fracture surely affect the final functional outcomes.