Treatment Reality of Tension Band Wiring and Locked Plate Fixation of the Olecranon

University Hospital Muenster

Status: Completed

Conditions: Olecranon Fracture

Treatments: Procedure: Simple fracture Tension band wiring; Procedure: Simple fracture locked plate fixation; Procedure: Multi-fragmented tension band wiring; Procedure: Multi-fragmented locked plate fixation

Study type: Observational

Funder types: Other

Identifiers

NCT06615999

Olecranon TBW vs. LPF

Details and patient eligibility

About

The incidence of the olecranon fracture (OF) in adults is around 12 per 100,000 inhabitants per year.1 The anatomical shape of the proximal ulna is largely responsible for the stabilization of the humeroulnar joint and reconstruction is therefore obligatory, but often challenging. Surgical treatment of the olecranon fracture is performed using tension band wiring (TBW) or locking plate fixation (LPF) osteosynthesis. It is not yet clear, which procedure is superior for a specific patient. In future, an individualized and objectified assessment of expected general and fracture-specific complications should enable the treatment to be individually adapted to the patient's risk profile. This shall prevent complications, unnecessary treatments, and treatment costs. In the project presented here, the reality of care for surgically treated patients with olecranon fractures will be analyzed using routine data collected by the BARMER health insurance fund.

The aim of the study is to analyze differences in the outcome of patients with an olecranon fracture treated with TBW compared to LPF and to identify independent risk factors for unfavorable course.

Enrollment: 15,705 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Inpatient coded diagnosis of olecranon fracture (ICD S52.01)

Exclusion criteria

• Incomplete basic information
• Incomplete insurance status within two years before index
• Previous treatment of olecranon fracture
• Unclear treatment of olecranon fracture
• Age < 18 years
• Coded polytrauma
• Bone tumors/ bone metastasis
• Both sides injured or missing information of surgery side

Trial design

15,705 participants in 4 patient groups

Locking Plate fixation for simple fractured OFs (sLPF)

Description:

Patients allocated to this treatment group received a locking plate fixation after the first coded diagnosis of simple fractured OF.

Treatment:

Procedure: Simple fracture locked plate fixation

Locking Plate fixation for multi-fragmented OFs (LPF)

Description:

Patients allocated to this treatment group received a locking plate fixation after after the first coded diagnosis of multi-fragmented OF.

Treatment:

Procedure: Multi-fragmented locked plate fixation

Tension band wiring for simple fractured OFs (sTBW)

Description:

Patients allocated to this treatment group received a tension band wiring fixation after the first coded diagnosis of simple fractured OF.

Treatment:

Procedure: Simple fracture Tension band wiring

Tension band wiring for multi-fragmented OFs (TBW)

Description:

Patients allocated to this treatment group received a tension band wiring fixation after the first coded diagnosis of multi-fragmented OF.

Treatment:

Procedure: Multi-fragmented tension band wiring