Clinical Outcomes of Chevron Osteotomy with Tension Band Wiring for Distal Humerus Fractures: A Prospective Study.

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI:10.30476/beat.2025.105478.1565

Aliasghar Kousari, Amir Mehrvar, Seiied Hossein Heidari, Soroush Rezaei Garjaei

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引用次数: 0

Abstract

Objectives: Chevron osteotomy could be fixed using various techniques, each yielding different outcomes. This study aimed to determine the complications and outcomes caused by Chevron osteotomy fixed with tension band wire in distal humeral fractures.

Methods: In this prospective study, patients with distal intra-articular humerus fractures treated by Chevron osteotomy at Shahid Rajaei and Shahid Chamran Hospitals (Shiraz, Iran) from October 2018 to October 2023 were enrolled. Osteotomy fusion was evaluated radiographically using the Picture Archiving and Communication System (PACS). Additional complications were assessed during periodic patient follow-ups.

Results: The study included 60 patients with a mean age of 44.6±18.14 years, including 23 (38.3%) women. All cases demonstrated complete union of the olecranon osteotomy, with no cases of infection or fixation failure. In three cases, the applied pins and wires were removed. Hardware-related irritation was observed in 22 patients (36.7%).

Conclusion: The tension band wiring (TBW) method demonstrated acceptable clinical outcomes. Despite frequent hardwire irritation, this technique achieved high rates of bony union. However, future comparative studies evaluating multiple fixation techniques within a single center are warranted.

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张力带钢丝雪佛龙截骨治疗肱骨远端骨折的临床效果：一项前瞻性研究。

目的：雪佛龙截骨术可采用多种技术固定，每种技术的效果不同。本研究旨在探讨肱骨远端骨折经张力带丝固定的Chevron截骨术的并发症及预后。方法：本前瞻性研究纳入2018年10月至2023年10月在伊朗设拉子Shahid Rajaei和Shahid Chamran医院（Shiraz, Iran）接受Chevron截骨术治疗的肱骨远端关节内骨折患者。使用图像存档和通信系统（PACS）放射学评估截骨融合。在患者定期随访期间评估其他并发症。结果：纳入60例患者，平均年龄44.6±18.14岁，其中女性23例（38.3%）。所有病例均表现为鹰嘴截骨完全愈合，无感染或固定失败病例。在三个案例中，应用的引脚和电线被移除。22例（36.7%）患者出现硬件相关刺激。结论：张力带钢丝（TBW）法临床效果良好。尽管频繁的硬丝刺激，该技术实现了高的骨愈合率。然而，未来评估单一中心内多种固定技术的比较研究是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.