Prospective Randomized Comparative Study between Tension Band and Intramedullary Screw Fixation for Olecranon Fractures

Background: Controversy exists regarding the best technique for treating displaced transverse olecranon fractures with advocates three techniques: (1) intramedullary (IM) screw, (2) locking plate, and (3) tension band. Objectives: The aim of this study was to seek which method fixation fits according fracture type postoperative outcome. Two methods were used: K-wire band screw. Patients methods: A prospective randomized comparative included 20 patients or oblique olecranon, treated at Department Orthopedics, Sohag University Hospital. randomly divided into two groups equal number where odd numbers using AO wiring (Group I) those even by screw II). Results: Patients’ characteristics insignificantly different between both groups. range motion significantly higher in group II than I. Mayo Elbow Performance score (MEPS) 4 weeks, 3month 6 months compared I but an insignificant difference 2 weeks Visual analogue (VAS) lower 4weeks groups. Conclusion: It could be concluded that is superior non comminuted more motion, VAS, MEPS.