[Assessment of surgical treatment of olecranon fractures by tension-band wiring. About 63 cases].
The purpose of this work is to estimate our anatomical and functional results of the surgical technique based on the AO principle of tension band wiring. We led a retrospective continuous study on the basis of 70 files brought together from January, 1999 till December, 2006. We had included all the patients who presented a recent fracture of the olecranon treated by tension band wiring and having a follow-up more than 6 month. Seven (7) files were excluded giving to the study one population of 63 patients. The fracture was classified according to the classification of Mayo clinic and the associated hurts were noted. The tension band wiring was the exclusive treatment. The evaluation looked for the complications and appreciated the radiological and functional results according to the score of Mayo Elbow Performance Score. We had found 48 fractures of type II and 15 fractures of type III. There were 5 cases of cutaneous punctiforme opening, a fracture of the ipsilateral forearm in 3 cases, a fracture of the thighbone in 1 case and a dislocation of the elbow associated with a fracture of the humerus in 1 case. The consolidation was obtained at 60 patient's at the end of 4 months on average (extremes: 3 and 6 months). There were 3 cases of non union and 5 cases of pins migrations. On the functional plan, we obtained 15 very good results, 26 good results, 19 average results and 3 bad results. The most frequent and the most common fractures of the elbow, the olecranon fractures treated by tension band wiring give good results.
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Service d'Orthopédie-Traumatologie, CHU A. Le Dantec, Dakar. danielsane@hotmail.com
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Dieme
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Ndiaye-Coulibaly
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Bousso
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001864:Bone Wires; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000601:surgery*; D055815:Young Adult