Early range of motion exercise in pediatric patients with olecranon fractures treated with tension band suture with double loops and double knots

Journal of Shoulder and Elbow Surgery
Tae Hun KimJae Ho Cho

Abstract

Pediatric patients with olecranon fractures are uncommon. The tension band suture technique was introduced to reduce the burden of implant removal and other complications. However, to our knowledge, early range of motion (ROM) exercise has not been introduced in this population of patients. Double Vicryl loops and knots with 2 cross-pins are used to maintain the benefits of the tension band suture technique and to enhance fixation tensile strength. We believe that early ROM exercises could be achieved without nonunion or fixation failure. Twelve pediatric patients with olecranon fractures were treated with tension band suture with double loops and knots between 2004 and 2015. Vicryl No. 1 was used for wiring. ROM exercises were initiated 1 week postoperatively with a customized functional brace. Early functional outcomes were evaluated by the Mayo Elbow Performance Score at every visit after 8 weeks postoperatively. Nine boys and 3 girls (average age, 10.6 years; range, 5 years 7 months-16 years 2 months) were included in the study. Initial displacement and angulation of the fractures were 5 mm (2-7 mm) and 12° (4°-25°), respectively. Two cases had radial neck fractures of the ipsilateral elbow. All patients had a perfect Mayo ...Continue Reading

Citations

Jan 11, 2019·Journal of Pediatric Orthopedics·Samantha Tayne, Peter A Smith
Jun 9, 2020·EFORT Open Reviews·Thomas J HolmeYael Gelfer
Nov 25, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Miriam KalbitzJochen Pressmar
Mar 16, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Omid NazifiAaron Tay

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