Yu Xiang, Li Qi, Li Yu-Zhi, Lu Hai-Jian, Ao Rong-Guang, Liu Bing-Li
Department of Orthopedic Surgery, Shanghai Seventh People's Hospital, Shanghai, China.
Front Surg. 2024 Nov 26;11:1500317. doi: 10.3389/fsurg.2024.1500317. eCollection 2024.
To explore the clinical efficacy of perforated Kirschner wire tension band in the treatment of Mayo IIA olecranon fracture.
A retrospective study was conducted to analyze the clinical data of 96 adult patients with olecranon fractures of the ulna. Thirty-four cases underwent perforated Kirschner wire tension band fixation(group A), which included 21 males and 13 females, with an average age of 49.1 ± 11.57 years. Thirty-two cases received fixation with an olecranon anatomical plate (group B), comprising 19 males and 13 females, with an average age of 48.9 ± 8.84 years. Additionally, 30 cases were treated with ordinary Kirschner wire tension band fixation (group C), consisting of 18 males and 12 females, with an average age of 46.6 ± 12.03 years. The study compared various outcomes among the three groups, including operation time, intraoperative blood loss, number of fluoroscopy exposures, postoperative visual analogue score (VAS), fracture healing time, internal fixation failure rates, skin irritation rates, and the Broberg-Morrey score for elbow joint function at the final follow-up.
All patients were followed for a duration of 15 to 21 months, with an average follow-up period of 18 months. The operation time, intraoperative blood loss, number of fluoroscopy sessions, fracture healing time, and incidence of skin irritation for group A were recorded as (73.8 ± 11.72) min, (113.5 ± 20.73) milliliters, (7.5 ± 1.96) times, and (3.7 ± 1.46) months, respectively, with 1 case of skin irritation. In group B, the corresponding values were (98.4 ± 10.46) min, (154.7 ± 20.11) milliliters, (11.8 ± 2.78) times, and (4.3 ± 1.69) months, with 5 cases of skin irritation. For group C, the values were (81.7 ± 15.66) min, (115.5 ± 18.82) milliliters, (7.3 ± 1.99) times, and (4.3 ± 1.86) months, with 7 cases of skin irritation. Group A demonstrated superior outcomes compared to group B in terms of intraoperative blood loss and number of fluoroscopy sessions, and outperformed both group B and group C regarding operation time, fracture healing time, and skin irritation. These differences were statistically significant ( < 0.05).
Perforated Kirschner wire Tension band is an effective method for treating olecranon fractures. This technique is associated with a short operative time, minimal intraoperative blood loss, and a reduced need for fluoroscopy. Additionally, it promotes fracture healing and significantly reduces the risk of complications, such as postoperative skin irritation.
探讨带孔克氏针张力带治疗梅奥IIA型尺骨鹰嘴骨折的临床疗效。
进行一项回顾性研究，分析96例成年尺骨鹰嘴骨折患者的临床资料。34例采用带孔克氏针张力带固定（A组），其中男性21例，女性13例，平均年龄49.1±11.57岁。32例采用尺骨鹰嘴解剖钢板固定（B组），包括男性19例，女性13例，平均年龄48.9±8.84岁。另外，30例采用普通克氏针张力带固定（C组），由18例男性和12例女性组成，平均年龄46.6±12.03岁。该研究比较了三组之间的各项结果，包括手术时间、术中出血量、透视次数、术后视觉模拟评分（VAS）、骨折愈合时间、内固定失败率、皮肤刺激率以及末次随访时肘关节功能的Broberg-Morrey评分。
所有患者均随访15至21个月，平均随访期为18个月。A组的手术时间、术中出血量、透视次数、骨折愈合时间和皮肤刺激发生率分别记录为（73.8±11.72）分钟、（113.5±20.73）毫升、（7.5±1.96）次和（3.7±1.46）个月，有1例皮肤刺激。B组相应的值分别为（98.4±10.46）分钟、（154.7±20.11）毫升、（11.8±2.78）次和（4.3±1.69）个月，有5例皮肤刺激。C组的值分别为（81.7±15.66）分钟、（115.5±18.82）毫升、（7.3±1.99）次和（4.3±1.86）个月，有7例皮肤刺激。A组在术中出血量和透视次数方面的结果优于B组，在手术时间、骨折愈合时间和皮肤刺激方面优于B组和C组。这些差异具有统计学意义（<0.05）。
带孔克氏针张力带是治疗尺骨鹰嘴骨折的有效方法。该技术手术时间短，术中出血量少，透视需求减少。此外，它促进骨折愈合，并显著降低并发症风险，如术后皮肤刺激。
