فهرست نشریات علمی دسترسی آزاد ایران

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 withtension band wire in distal humeral fractures.Methods: In this prospective study, patients with distal intra-articular humerus fractures treated by Chevronosteotomy at Shahid Rajaei and Shahid Chamran Hospitals (Shiraz, Iran) from October 2018 to October2023 were enrolled. Osteotomy fusion was evaluated radiographically using the Picture Archiving andCommunication 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. Allcases demonstrated complete union of the olecranon osteotomy, with no cases of infection or fixation failure. Inthree 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. Despitefrequent hardwire irritation, this technique achieved high rates of bony union. However, future comparativestudies evaluating multiple fixation techniques within a single center are warranted.