Two Kinds Of Operation Method In The Treatment Of Olecranon Mayo TypeⅡfracture

Objective: to analyse and compare the Kirschner wire tension band withanatomical locking compression plate（ALCP） fixation for the treatment of olecranonoperation of Mayo type II fractures, explore anatomical locking plate in the treatment ofolecranon fracture and the clinical application value of Mayo II.Method: The study retrospective analyse the ulna olecranon fracture patients in theSecond Affiliated Hospital of Dalian Medical University from2006March to2011March. from the selection of standard patient62examples, this study of62patients offracture types are Mayo type II fractures, were followed up, will be divided into twogroups, Kirschner wire and tension band group,36cases; anatomical locking plategroup,26cases; wherein the Kirschner wire group of male patients in17cases,19casesof female patients, ages20～63years, mean36.2±23.6years of age, anatomicallocking plate group of male patients in10cases,16cases of female patients, mean age37.4±17.4years; in which on the left side of the24cases,38were right. Cause ofinjury:24cases of traffic accident injuries, high falling injury in6cases,4cases of heavybruising, sticks and hard combat injury in5cases, injuries in23cases. Are closedfracture. Two groups of patients undergoing operation time, intraoperative blood loss,the healing time of the fracture, elbow joint Merrey score and postoperativecomplication rate for statistical analysis.Results: Kirschner wire group and the anatomical locking plate group in theaverage operation time, bleeding volume and mean average of fracture healing timewere compared, P>0.05, compare the results were not statistically significant,Kirschner wire group with anatomical locking plate group without distinction (seeTable3). Two groups of patients in the elbow joint of the efficacy of Morrer score andcomplications were compared, anatomical locking plate fixation is superior to Kirschnerwire tension band, P <0.05, with statistical significance (see Table4, Table5, Table 6,).Conclusion: Kirschner wire tension band and anatomical locking plate is thetreatment of olecranon type Mayo fractures of the commonly used method of treatment,Kirschner wire in the postoperative complication rate surface above the Kirschner wiregroup, anatomical locking plate in the postoperative elbow joint effect of Morrey scorethan the Kirschner wire tension band, in the ulna olecranon type Mayo fractures treatedwith anatomical locking plate on recommended.