Olecranon mayo IIA fractures treated with transosseous high strength suture: A series of 29 cases.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interest All authors disclose no financial and personal relationships with other people or organisations that could inappropriately influence (bias) their work. Examples of potential conflicts of interest include employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registrations, and grants or other funding. 14. BMC Musculoskelet Disord. 2025 Jul 4;26(1):597. doi: 10.1186/s12891-025-08843-1. Efficacy evaluation of Kirschner wire tension band combined with anatomical locking plate in the treatment of Mayo type II olecranon fractures. Cen C(#)(1), Yin N(#)(2), Wu Y(#)(1), Xie Y(2), He D(2), Zhang Y(3), Jiang J(2), Zhu Y(2), Zhou J(2), Cao Y(4). Author information: (1)Department of Orthopedics, The Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, 550014, China. (2)Department of Orthopedics, People's Hospital of Weining Yi, Hui and Miao Autonomous County, Bijie, 553100, Guizhou, China. (3)Department of gynaecology and obstetrics, Guiyang First People's Hospital, Guiyang, 550005, China. (4)Department of Orthopedics, The Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, 550014, China. 841523920@qq.com. (#)Contributed equally BACKGROUND: Kirschner wire tension band (KWTB) and anatomical plate fixation are the most often used procedures for treating Mayo type II olecranon Fractures, each has its technological advantages. However, there are often some associated complications with single use, the combination of Kirschner-wire tension band reduction and locking plate fixation in treating Mayo type II olecranon fractures has been seldom recorded. This research aims to compare the efficacy of KWTB alone and KWTB combined with anatomical locking plate (ALP) in the treatment of Mayo type II olecranon fractures. METHODS: Clinical data from 72 individuals who had surgery for Mayo type II olecranon fractures between January 2020 and December 2022 were evaluated retrospectively. Patients were randomized to either KWTB (n = 37, 19 males and 18 females; range 36 to 75 years; mean age 49.12 ± 9.51 years) or KWTB + ALP (n = 35, 16 males and 19 females; range 37 to 75 years; mean age 50.07 ± 9.45 years). Data including operative duration, intraoperative bleeding, incision length, hospital stay, postoperative complications, and the time to return to work, fracture union time, and follow-up time were documented. Their Disabilities of the Arm, Shoulder and Hand (DASH), Mayo elbow performance score and elbow range of motion (ROM) measures were utilized for functional assessments. RESULTS: The mean follow-up time was 28.03 ± 8.14 months, there were no statistical differences in general characteristics, intraoperative blood loss and length of incision between the two groups (P > 0. 05).The operative duration of KWTB + ALP group was greater than that of KWTB group (P