Aim of this study is to determine the functional outcome after a minimum of 1 year follow-up after fixation of the fractured olecranon with TBW or PF. Subgroup analyses will be done to investigate the assumed advantage of PF compared to TBW in…
ID
Source
Brief title
Condition
- Fractures
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
To investigate the subjective functional outcome of the operated elbow measured
with the DASH, after an olecranon fracture treated with TBW or PF with a
minimum follow-up of one year.
Secondary outcome
- To identify predictive factors of decreased functionality and range of motion
of the operated elbow after fixation of an olecranon fracture.
Background summary
Olecranon fractures are a common type of fracture, with tension band wiring
(TBW) as one of the oldest and most commonly used technique of internal
fixation of olecranon fractures. Currently there is a shift detectable from the
commonly used TBW to newer fixation techniques such as plate fixation (PF) and
screws. However, only small studies are available on the functional outcomes of
TBW and plate fixation. The best evidence currently available on this subject
is a Cochrane review, which concluded that there is insufficient evidence to
draw robust conclusions on the relative effects of the different surgical
interventions such as TBW and PF. They stated that further evidence, including
patient-reported data, is needed.
Study objective
Aim of this study is to determine the functional outcome after a minimum of 1
year follow-up after fixation of the fractured olecranon with TBW or PF.
Subgroup analyses will be done to investigate the assumed advantage of PF
compared to TBW in comminuted fractures.
Study design
The study will be a retrospective cohort study for all types of olecranon
fractures (according to the Mayo-classification), treated with TBW or PF. Data
will be collected from patient*s medical records including clinical charts and
radiology reports. A one-time consult will be held at our outpatient clinic for
answering questionnaires and physical examination. This visit will take
approximately one hour in total. The study will be done at the department of
surgery at the Noordwest Ziekenhuisgroep.
Study burden and risks
A one-time consult at the outpatient clinic will be scheduled for answering
non-burdensome questionnaires and an easy, non-invasive examination of the
elbow function of both elbows. The whole visit will take up to one hour
maximum.
Wilhelminalaan 12
Alkmaar 1815 JD
NL
Wilhelminalaan 12
Alkmaar 1815 JD
NL
Listed location countries
Age
Inclusion criteria
- Having a history of an olecranon fracture which was treated with tension band wiring or plate fixation.
- Age: *16 years at the moment of fracturing and *18 years at the start of this study
- understanding Dutch
Exclusion criteria
- Bilateral olecranon fracture
- Former surgery at one of the olecranons
- Diseases that can affect the elbow function (e.g. osteogenesis imperfecta, muscle disease, rheumatoid arthritis), except for osteoporosis.
- Mental disability that compromises postoperative treatment
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL51401.094.15 |
| Other | volgt nog |
| OMON | NL-OMON21638 |