Critical analysis of olecranon fracture management by pre-contoured locking plates

Orthopaedics & Traumatology, Surgery & Research : OTSR
L NiglisM Ehlinger

Abstract

Fractures of the proximal ulna are rare and usually managed surgically. Strong fixation of the harware is essential to obtain good outcomes. We report our experience with pre-contoured locking plate fixation of complex olecranon fractures and present a critical appraisal of the outcomes. Pre-contoured locking plates provide good outcomes, but their clinical tolerance may be limited in some instances. From September 2009 to December 2011, 28 patients were managed using a pre-contoured locking compression plate (LCP(®)). Among them, 6 were excluded because of missing data, which left 22 patients (11 males and 11 females) with a mean age of 55.7 years, including 12 who were employed. The fracture was on the dominant side in 11 patients. According to the Mayo Clinic classification, 15 fractures were type II and 7 type III. In addition to the ulnar fracture, a radial head fracture was present in 9 patients and a coronoid process fracture in 5 patients. Functional recovery was assessed using the Broberg-Morrey score and Mayo Elbow Performance Score (MEPS). Radiographs were obtained to evaluate the quality of fracture reduction and fracture healing, as well as to look for ossifications and osteoarthritis. Mean follow-up was 20 months....Continue Reading

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Citations

Dec 15, 2015·The Open Orthopaedics Journal·H NeumannB Kienast
Sep 21, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Michio OkamotoKoji Yamamoto
Jul 11, 2020·International Orthopaedics·Juan Martín PatiñoBruno Marinucci
Jan 11, 2018·Hand : Official Journal of the American Association for Hand Surgery·Allison L BodenMichael B Gottschalk
Jun 5, 2020·Archives of Orthopaedic and Trauma Surgery·Luigi TaralloFabio Catani
Feb 26, 2019·EFORT Open Reviews·Sebastian SiebenlistKarl F Braun
Jun 23, 2020·Journal of Orthopaedic Trauma·Michael J ChenMichael J Gardner
Apr 15, 2020·Journal of Shoulder and Elbow Surgery·Alexander EllweinAlexander Klug

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