Orthopedics · 2025
Tension Band Suturing Versus Tension Band Wiring for Management of Pediatric Olecranon Fractures: Systematic Review and Meta-analysis.
СтатьяСистематический обзорМетаанализСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Zouhbi Anas El, Hamdan Karim, El Abiad Jad M, Saghieh Said, Nassereddine Mohamad
Аннотация
BACKGROUND: Pediatric olecranon fractures require optimal fixation to prevent long-term morbidity. Tension band wiring (TBW) has been the gold standard, but tension band suturing (TBS) has emerged as a potential alternative. This study systematically reviews and compares outcomes of TBS and TBW in pediatric olecranon fractures.
MATERIALS AND METHODS: A systematic review and meta-analysis were conducted per Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Nine studies were included, with three directly comparing TBS to TBW.
RESULTS: No statistically significant differences were found in pain, non-union, revision fixation, or extension loss (P>0.05). TBS demonstrated fewer hardware-related complications.
CONCLUSION: TBS is a viable alternative to TBW, offering similar outcomes with reduced hardware complications. Further high-quality studies are needed. [Orthopedics. 2025;48(4):248-255.].
MATERIALS AND METHODS: A systematic review and meta-analysis were conducted per Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Nine studies were included, with three directly comparing TBS to TBW.
RESULTS: No statistically significant differences were found in pain, non-union, revision fixation, or extension loss (P>0.05). TBS demonstrated fewer hardware-related complications.
CONCLUSION: TBS is a viable alternative to TBW, offering similar outcomes with reduced hardware complications. Further high-quality studies are needed. [Orthopedics. 2025;48(4):248-255.].