The Journal of Bone and Joint Surgery, Vol 67, Issue 9 1396-1401, Copyright © 1985 by Journal of Bone and Joint Surgery, Inc
Complications of tension-band wiring of olecranon fractures
D Macko and RM Szabo
We encountered a high incidence of complications related to the technique
of tension-band wire fixation of displaced fractures of the olecranon in a
five-year retrospective study of twenty patients (twenty fractures). All
had been treated with primary open reduction using the AO technique of
tension-band wiring. Twenty patients were followed at least to union as
determined radiographically. The most frequent complication was symptomatic
prominence of the Kirschner wires at the elbow in sixteen patients. There
was skin breakdown in four patients, and infection developed in one.
Measurable proximal migration of the Kirschner wires, however, occurred in
only three patients. Prominence of the Kirschner wires usually was due to
improper seating at the time of surgery (twelve of sixteen patients). Most
complications that are related to this method of fixation may be avoided by
careful attention to surgical technique.