Pakistan Armed Forces Medical Journal (Oct 2018)
COMPARISON OF FUNCTIONAL OUTCOME IN MAYO ELBOW PERFORMANCE SCORE IN OLECRANON FRACTURES AFTER TREATMENT WITH TENSION BAND WIRING AND LOCKING COMPRESSION PLATE
Abstract
Objective: To compare mean change in the Mayo Elbow Performance Score in olecranon fracture after treatment with tension band wiring and locking compression plate. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Orthopaedics, Benazir Bhutto Hospital Rawalpindi, from Aug 2015 to Aug 2016. Material and Methods: Sixty patients were included in the study. Patients were divided into two groups, A and B. For group A, Locking compression plate while in group B tension band wiring was used. Follow-up was carried out at the end of 1st week and then at the end of 6th week post-operatively. Functional outcome was assessed by mean change in Mayo Elbow Performance Score. Results: Mean age in the study was 43.62 ± 12.187 years. There were 32 (53%) male patients and 28 (47%) female patients, while 34 (57%) patients had Mayo IIB fractures and 26 (43%) had mayo IIA fractures. Twenty five patients (42%) belonged to ASA class II while 35 (58%) belonged to ASA class I. Twenty Six patients (43%) presented within 24 hours of the injury while 34 (57%) presented within 48 hours. Mean change in the Mayo Elbow Performance Score in TBW group was 8.77 ± 3.54 versus 10.63 ± 3.479 for the LCP group (p=0.044). Conclusion: Locking Compression plate is superior to Tension Band Wiring in patients with olecranon fracture in terms of Mayo Elbow Performance Score.
