Document Type : Original Article
Authors
1 Orthopedic and Rehabilitation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Orthopedics, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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.
Keywords
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