RESUMO
Objective: To compare mean change in the Mayo Elbow Performance Score in olecranon fracture after treatment with tension band wiring and locking compression plate
Study Design: Randomized controlled trial
Place and Duration of Study: Department of Orthopaedics, Benazir Bhutto Hospital Rawalpindi, from Aug 2015 to Aug 2016
Material and Methods: Sixty patients were included in the study. Patients were divided into two groups, A and B. For group A, Locking compression plate while in group B tension band wiring was used. Follow-up was carried out at the end of 1st week and then at the end of 6th week post-operatively. Functional outcome was assessed by mean change in Mayo Elbow Performance Score
Results: Mean age in the study was 43.62 +/- 12.187 years. There were 32 [53 percent] male patients and 28 [47 percent] female patients, while 34 [57 percent] patients had Mayo IIB fractures and 26 [43 percent] had mayo IIA fractures. Twenty five patients [42 percent] belonged to ASA class II while 35 [58 percent] belonged to ASA class I. Twenty Six patients [43 percent] presented within 24 hours of the injury while 34 [57 percent] presented within 48 hours. Mean change in the Mayo Elbow Performance Score in TBW group was 8.77 +/- 3.54 versus 10.63 +/- 3.479 for the LCP group [p=0.044]
Conclusion: Locking Compression plate is superior to Tension Band Wiring in patients with olecranon fracture in terms of Mayo Elbow Performance Score