Abstract: Background: Olecranon fractures are some of the most common seen injuries seen in the casualty department. The current surgical intervention of displaced fractures are open reduction and internal fixation with k-wires and tension band wiring in figure of 8 fashion. It can also be surgically managed with intramedullary cancellous screw with tension band wiring. The present study is to compare the results of both the surgical procedures and to assess the pros and cons of the respective surgical interventions.
Methods: This prospective comparative study was carried out from May 2017 to November 2019 in Krishna Institute of Medical Sciences, Karad, India where among 40 olecranon fractures, twenty were treated with Tension band wiring with K-wire and another twenty treated with intramedullary cacellous screw with tension band wiring and the results were assessed and compared.
Results: In our study, most of the cases were type II B fractures according to Colton‟s classification. According to Mayo elbow performance score, Excellent results found in 16 patients (80%), good in 2 patient (10%) and fair in 2 patient (10%) in cancellous screw group and in K wire group, 10 patient (50%) had excellent, 6 patient (30%) had good and 4 patients (20%) had fair results. No poor result was seen in both groups.
Conclusions: From this study, we came to the conclusion that for displaced transverse and oblique olecranon fractures, using cancellous screw with tension band wiring gives better clinical outcome when compared to tension band wiring with K- wire fixation avoiding cost, work time loss and possible complications from implant removal.
