Chinese Journal of Tissue Engineering Research

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Treatment of olecranon fracture with biodegradable tension band in 9 cases

Wei Xin, Sun Gui-xin, Li Li-jun, Tan Jun   

  1. Department of Traumatic Surgery, Shanghai East Hospital of Tongji University, Traumatic Institute of Tongji University, Shanghai  200120, China
  • Online:2010-02-19 Published:2010-02-19
  • Contact: Sun Gui-xin, Doctor, Associate chief physician, Department of Traumatic Surgery, Shanghai East Hospital of Tongji University, Traumatic Institute of Tongji University, Shanghai 200120, China sunguixin@sina.com
  • About author:Wei Xin★, Master, Attending physician, Department of Traumatic Surgery, Shanghai East Hospital of Tongji University, Traumatic Institute of Tongji University, Shanghai 200120, China weixin7218@hotmail.com
  • Supported by:

     the Fund for Excellent Young Academic Leader of Pudong New Area, No. PWRD2008-9*

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Abstract:

BACKGROUND: Internal fixations with plate and screw or K-wire tension band are widely used in treating olecranon fracture; however, the internal fixations need to remove by a second surgery.
OBJECTIVE: To retrospective analyze the therapeutic effect of treating olecranon fracture using biodegradable tension band.
METHODS: Nine olecranon fracture patients received at the Shanghai East Hospital of Tongji University from July 2006 to April 2009 were selected. All patients were treated by biodegradable tension band fixation which comprises absorbable screw and absorbable suture. Elbow joint functional exercises were performed at 3 weeks after plaster external fixation. The patients were followed up for 12 months, and the therapeutic effect was measured by X-ray films and Mayo score of elbow joint function.
RESULTS AND CONCLUSION: Imaging examination showed that the fracture healing well in all cases, and the fracture line was blurred. No ulnar nerve compression, fracture, or fracture displacement could be seen. Biodegradable tension band fixation can provide adequate intensity for functional exercises, which has the virtue of effective fixation without a second surgery to remove fixation. It is believed to be a good method for the treatment of olecranon fractures.

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