A Prospective Randomised Control Trial for Comparison Between olecranon Lock Plate And Tension Band Wiring In Transverse olecranon Fractures

Introduction: Olecranon fractures are frequently encountered in the practice of orthopaedic surgery with a prevalence of 60% among patients with a fracture of the proximal ulna. Generally the treatment of choice for displaced olecranon fracture is open reduction and internal fixation. We report the result of a prospective Randomised Control Trial of Forty patients, who were treated either by Tension Band Wiring or Olecranon Lock Plate. Methodology: In a prospective controlled study, 20 cases each of transverse olecranon fractures were treated with Tension Band Wiring and Olecranon Lock Plate respectively. The age group of the patients is 18 to 70 years, The surgery and follow-up conducted at the same centre. Patients will be followed up at regular intervals and outcome variables assessed and recorded Results: In our study overall satisfactory result (excellent+ good) according to Mayo Elbow Performance Score was obtained in 92.5% cases. In the TBW group satisfactory result were obtained in 95% cases whereas in Olecranon Lock Plate group it was obtained in 90 % cases. Conclusion: This prospective study presents the technique applied in the treatment of transverse olecranon fractures. The results obtained in this study have shown that the both Tension band wiring and Olecranon Lock Plate techniques are safe, convenient and effective, since there was no obvious damage, nor major complications.