WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Rabah Abdulla Al-Ebadi, F.I.C.M.S. (Ortho)*, Dr. Mohammed Idrees Altahan, C.A.B.M.S., Dr. Omar Abed Kassem C.A.B.M.S. and Dr. Mamoon Abdulmunem Al-Dabbagh, F.I.C.M.S.

ABSTRACT

Background: Olecranon fractures in adult are a common upper extremity injury. Open reduction and rigid internal fixation have become the generally accepted method of treatment for displaced fractures of the olecranon to allow early mobilization and to prevent contracture of the elbow. Objective: The aim of the study to compare between two methods of internal fixation of displaced closed fractures of olecranon by tension- band wiring versus lag screw in terms of union rate and range of motion. Patient and Methods: A comparative prospective study of 30 patient diagnosed with displaced closed fracture of the olecranon with impairment of extensor mechanism of the elbow Colton classification (type BII) in emergency department of Al-Jumhoori Teaching Hospital from Jun. 2019 to Jan.2020. patients are randomized into 2 group, group one of 20 patients treated with K-wire and tension band wiring, while group two of 10 patients were treated with cancellous or by 6.5mm partially threaded AO cancellous screw. Results: Excellent and good results were achieved in 80? in group 1 patients and in 50? in group 2 patients (level of significance was p= 0.017, which is significant). Conclusion: The preliminary results of the current study suggest that tension- band wiring may be more valid option for internal fixation of olecranon fracture than lag screw fixation.

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