A comparative study of tension band wiring and reconstruction ...
A comparative study of tension band wiring and reconstruction ...
A comparative study of tension band wiring and reconstruction ...
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Khanna et al<br />
In group A 2(13.3%) cases had superficial infection as<br />
compare to one (6.6%) case in group B. Group A had 1(6.6%)<br />
deep infection which resulted in loosening <strong>of</strong> K-wires <strong>and</strong> its<br />
proximal migration. This patient was treated with implant removal<br />
after the bone healed, along with I/V antibiotics resulting in<br />
resolution <strong>of</strong> infection. Proximal migration <strong>of</strong> K-wires was<br />
present in two patients, both <strong>of</strong> them belonged to group A.<br />
(Fig 2).<br />
In the present <strong>study</strong> 13 cases (86%) showed excellent <strong>and</strong><br />
good results while 2 cases (13.3%) had unsatisfactory outcome<br />
in group A with TBW as compare to 14 cases (93.3%) showed<br />
excellent <strong>and</strong> good results while only 1 case (6.7%) had<br />
unsatisfactory outcome in with 3.5 mm <strong>reconstruction</strong> plate<br />
fixation (group B). In both the groups, none <strong>of</strong> the patient<br />
showed poor outcome (Table-4).Doursounian et al 13 in 1994<br />
reported 87% cases had good functional results <strong>and</strong> 13% fair<br />
functional results after <strong>tension</strong> <strong>b<strong>and</strong></strong> <strong>wiring</strong> <strong>of</strong> the olecranon<br />
fractures. Hume <strong>and</strong> Wiss 11 showed 79% good <strong>and</strong> fair<br />
results with TBW <strong>and</strong> 91% good <strong>and</strong> fair results with plate<br />
fixation.<br />
Bailey in 2001 reported 88% excellent or good results<br />
after plate fixation <strong>of</strong> displaced fracture <strong>of</strong> the olecranon 14 .<br />
Other studies reported results similar to the present<br />
<strong>study</strong> 15,16,17 .<br />
Fig 2. Showing results in Group A<br />
CONCLUSION<br />
In this <strong>comparative</strong> <strong>study</strong>, radiographic union occurred within<br />
9 to 26 weeks <strong>of</strong> follow-up with no statistical difference in the<br />
average union time in the groups treated with TBW <strong>and</strong> 3.5 mm<br />
<strong>reconstruction</strong> plate at the final follow-up.<br />
Ten patients incurred 13 complications. Patients were<br />
significantly more likely to develop symptomatic metal<br />
prominence after <strong>tension</strong> <strong>b<strong>and</strong></strong> <strong>wiring</strong> then after plate fixation.<br />
Superficial <strong>and</strong> deepinfection was also more common in <strong>tension</strong><br />
Table 4<br />
Showing clinical results according to roger's criteria<br />
Results Group A Group B<br />
No. <strong>of</strong> cases %age No. <strong>of</strong> cases %age<br />
Excellent 8 53.3 10 66.6 19 63.3<br />
Good 5 33.3 4 26.7 9 30.0<br />
Unsatisfactory 2 13.3 1 6.7 2 6.7<br />
Failure - - - -<br />
Total 15 100.0 15 100.0 30 100.0<br />
Pb Journal <strong>of</strong> Orthopaedics Vol-XIII, No.1, 2012<br />
60
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