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

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

15705 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-01-01

Study Completion Date

2023-12-31

Brief Summary

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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.

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Detailed Description

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Conditions

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Olecranon Fracture

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Locking Plate fixation for simple fractured OFs (sLPF)

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

Simple fracture locked plate fixation

Intervention Type PROCEDURE

OPS 5-793.k7

Locking Plate fixation for multi-fragmented OFs (LPF)

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

Multi-fragmented locked plate fixation

Intervention Type PROCEDURE

OPS 5-794.k7

Tension band wiring for simple fractured OFs (sTBW)

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

Simple fracture Tension band wiring

Intervention Type PROCEDURE

OPS 5-793.27

Tension band wiring for multi-fragmented OFs (TBW)

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

Multi-fragmented tension band wiring

Intervention Type PROCEDURE

OPS 5-794.17

Interventions

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Simple fracture Tension band wiring

OPS 5-793.27

Intervention Type PROCEDURE

Simple fracture locked plate fixation

OPS 5-793.k7

Intervention Type PROCEDURE

Multi-fragmented tension band wiring

OPS 5-794.17

Intervention Type PROCEDURE

Multi-fragmented locked plate fixation

OPS 5-794.k7

Intervention Type PROCEDURE

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No