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.
Keywords : Locking Compression Plate, Mayo Elbow Performance Score, Mayo type II, Olecranon fracture, Tension Band Wiring.