[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-406698-105":59,"doc-detail-406698-en":135},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":128,"head_meta":130,"extra_data":132,"updated_unix":134},105,"en","comparison-of-two-fixation-techniques-of-olecranon-osteotomy-after-reconstruction-of-intra-articular-distal-humerus-fractures","Comparison of two fixation techniques of olecranon osteotomy after reconstruction of intra-articular distal humerus fractures","","Accurate fixation of intra-articular distal humerus fractures often requires olecranon osteotomy, yet the optimal method remains unsettled. This retrospective study compared functional and radiological outcomes between two fixation approaches after reconstructing intra-articular fractures: 6.5 mm cancellous intramedullary screw alone versus cancellous screw combined with cerclage wiring applied as tension band wiring. Patients were assessed at one year using Mayo Elbow Performance Score and QuickDASH, with radiological union evaluated across groups.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/comparison-of-two-fixation-techniques-of-olecranon-osteotomy-after-reconstruction-of-intra-articular-distal-humerus-fractures/406698/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/comparison-of-two-fixation-techniques-of-olecranon-osteotomy-after-reconstruction-of-intra-articular-distal-humerus-fractures/406698.png","ImageObject",300,407,{"name":92,"@type":93},"4398046744996","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What was the purpose of this retrospective study?","Question",{"text":113,"@type":114},"To determine the radiological and functional outcome of olecranon osteotomy fixation using a cancellous screw alone versus cancellous screw combined with cerclage wiring as tension band wiring.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were the two fixation techniques defined in the study?",{"text":118,"@type":114},"Group A used 6.5 mm cancellous intramedullary screw alone, while group B used cerclage wire over a cancellous screw in a figure-of-eight configuration as tension band wiring (TBW).",{"name":120,"@type":111,"acceptedAnswer":121},"What were the main findings regarding radiological union and functional outcome?",{"text":122,"@type":114},"Radiological union was achieved in all cases in both groups, while functional outcome was significantly better in group A than in group B (P \u003C 0.05).",{"name":124,"@type":111,"acceptedAnswer":125},"Which scoring systems were used to evaluate outcomes?",{"text":126,"@type":114},"Functional outcomes were assessed with the Mayo Elbow Performance Score and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score at one year.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},406698,1790673705,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":66,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":148,"preview_page_count":4},4398046744996,"| W | J | O | World Journal of\u003Cbr>Orthopedics |\n| --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Orthop 2025 December 18; 16(12): 111460  \nDOI: 10.5312/wjo.v16.i12.111460 ISSN 2218-5836 (online)  \nORIGINAL ARTICLE  \nRetrospective Study  \nComparison of two fixation techniques of olecranon osteotomy after reconstruction of intra-articular distal humerus fractures  \nFaaiz Ali Shah, Aimal Sattar, Javed Iqbal  \nSpecialty type: Orthopedics  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade C, Grade D, Grade D  \nNovelty: Grade D, Grade D, Grade D  \nCreativity or Innovation: Grade C, Grade D, Grade D  \nScientific Significance: Grade C, Grade D, Grade D  \nP-Reviewer: Deng YS, MD, PhD, Chief Physician, China; Yang FC, MD, PhD, Chief Physician, Professor, China  \nReceived: July 1, 2025  \nRevised: August 7, 2025  \nAccepted: October 23, 2025  \nPublished online: December 18, 2025  \nProcessing time: 170 Days and 14.3 Hours  \nFaaiz Ali Shah, Aimal Sattar, Javed Iqbal, Department of Orthopaedics and Traumatology, Lady  \nReading Hospital Peshawar Pakistan, Peshawar 24100, Khyber Pakhtunkhwa, Pakistan Co-corresponding authors: Aimal Sattar and Javed Iqbal.  \nCorresponding author: Aimal Sattar, Assistant Professor, Department of Orthopaedics and Traumatology, Lady Reading Hospital Peshawar Pakistan, Street 1 Near Khyber Bazar, Peshawar 24100, Khyber Pakhtunkhwa, [Pakistan.](Pakistan. draimalsattar@gmail.com)[ draimalsattar@gmail.com](Pakistan. draimalsattar@gmail.com)  \nAbstract  \nBACKGROUND  \nAccurate surgical fixation of intra-articular distal humerus fractures require olecranon osteotomy. Repair of osteotomy is achieved with a variety of techniques but no consensus has been achieved regarding the optimum technique for fixing the olecranon osteotomy. In this retrospective study, we compared the functional and radiological outcome of the two commonly used techniques of fixing olecranon osteotomy after fixing distal humerus intra-articular fractures. We hypothesized that olecranon osteotomy fixed with 6.5 mm cancellous intramedullary screw alone yielded better radiological and functional outcome than fixation with cerclage wire over cancellous screw applied in figure of eight as tension band wiring (TBW) .  \nAIM  \nTo determine the radiological and functional outcome of olecranon osteotomy fixation with cancellous screw alone vs cancellous screw combined with cerclage wiring applied as TBW.  \nMETHODS  \nThis retrospective study was conducted in Lady Reading Hospital Peshawar Pakistan. Intra-articular distal humerus fractures fulfilling the inclusion criteria and operated during 2023 to 2025 were included. Olecranon osteotomy fixation with 6.5 mm cancellous screw alone was labelled as group A while cerclage wire over cancellous screw in figure of eight as TBW were labelled as group B. The demographics, radiological and functional outcome in both groups were compared at one year using Mayo Elbow Performance Score and Quick Disabilities of the Arm, Shoulder, and Hand Score.  \n WJO  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 18, 2025  Volume 16  Issue 12   \nShah FA et al. Intramedullary screw fixation of olecranon osteotomy  \nRESULTS  \nWe included 32 patients in this study. The mean age of group A patients was 34 ± 5.5 years while group B had a mean age of 34 ± 6.2 years. Radiological union of olecranon osteotomy was achieved in all cases in both groups. Functional outcome however was significantly better in group A than in group B (P \u003C 0.05) . The Mayo Elbow Performance Score was excellent in 14 (87.5%) and good in 2 (12.5%) patients in group A while 7 (43.47%) patients had excellent outcome, 5 (31.25%) good and 4 (25%) had fair outcome in group B. The mean Quick Disabilities of the Arm, Shoulder, and Hand Score was 24.5 ± 2.1 and 78.1 ± 12.1 in gr","cbCaihpiu2MO3PTo","https://ap.wps.com/l/cbCaihpiu2MO3PTo","pdf",11259876,"English","# Abstract\n## Background\n## Aim\n## Methods\n## Results\n## Conclusion\n## Core Tip","[{\"question\":\"What was the purpose of this retrospective study?\",\"answer\":\"To determine the radiological and functional outcome of olecranon osteotomy fixation using a cancellous screw alone versus cancellous screw combined with cerclage wiring as tension band wiring.\"},{\"question\":\"How were the two fixation techniques defined in the study?\",\"answer\":\"Group A used 6.5 mm cancellous intramedullary screw alone, while group B used cerclage wire over a cancellous screw in a figure-of-eight configuration as tension band wiring (TBW).\"},{\"question\":\"What were the main findings regarding radiological union and functional outcome?\",\"answer\":\"Radiological union was achieved in all cases in both groups, while functional outcome was significantly better in group A than in group B (P \\u003c 0.05).\"},{\"question\":\"Which scoring systems were used to evaluate outcomes?\",\"answer\":\"Functional outcomes were assessed with the Mayo Elbow Performance Score and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score at one year.\"}]","Comparison of two fixation techniques of olecranon osteotomy after reconstruction of intra-articular distal humerus fractures | PDF",1790567399,25]