Complications and reoperations related to tension band wiring and plate osteosynthesis of olecranon fractures

BackgroundOlecranon fractures are common and usually treated operatively either by tension band wiring (TBW) or plate fixation (PF). The aim of this study was to assess early complications reoperations their predictive factors related those operative methods.MethodsA retrospective analysis all patients with an olecranon fracture between 2007 2017 at Turku University hospital performed. Reoperations, postoperative complications, potential risk for these were recorded.ResultsA total 434 (387 TBW 47 PF) identified. There no statistically significant difference in the rate (49% vs. 62%, P = .262) (38% 53%, .079) PF. In group, intramedullary placement Kirschner (K)-wires predisposed compared transcortical K-wires according multivariate (odds ratio [OR] 1.94, .026). Younger age associated frequency reoperations, odds decreasing 24% every 10 years (P < .001). Further, high-energy trauma mechanisms reoperated more often low-energy (OR 2.99, .002). Also, excellent reduction higher reoperation than good fair 0.48, .033).ConclusionThere is a high both Transcortical positioning may reduce TBW. Olecranon methods. A recorded. .033).