Treatment of fractures of olecranon and internal or external malleolus by using needle wire nail amended tension band / 中国矫形外科杂志

ABSTRACT

[Objective]To explore improved operation treatment of fractures of olecranon and internal or external malleolus by fixing them internally with needle wire amend tension band.[Method]A total of 89 cases of olecranon fracture and 63 cases of internal and external malleolus fracture were treated by the amended traditional tension belt using needle wire nails.[Result]Sixty-eight and 55 of these cases(80.9%) had been followed-up respectively for 2.5 years in average,the longest follow-up period was 5 years and the shortest was 6 months.It shows through evaluation with Wolfgang post curative standard that 65 and 53 cases were excellent in curative effect(95.9%),3 and 2 cases had moderate result(4.1%),and there was no worse case.The average fracture cure time was 1.5 months.[Conclusion]The improvement of traditional tension belt in olecranon and internal or external malleolus fracture operation by using needle wire nails has the following advantages:(1)Simplifying operation procedures;(2)Reducing number of steel nails;(3)Keeping the biomechanical principle of the tension band and internal AO fixing advantage;(4)Reducing the phenomena of "tension loss" caused by expanded steel wire holes as a result of osteonecrosis,and avoiding internal loose complication.The disadvantage of this method is that the fixation has to be taken out through operation.