Anatomical locking compression plate in the repair of olecranon fracture: 6-month follow-up evaluation of elbow function

doi:10.3969/j.issn.2095-4344.2015.04.014

Abstract

Abstract:

BACKGROUND: Improper treatment of olecranon fractures will affect elbow function. To reduce the incidence of complications and good recovery of elbow function, it is important to give accurate reduction and rigid internal fixation of olecranon fracture.

OBJECTIVE: To investigate the anatomic locking compression plate in the repair of olecranon fracture.

METHODS: Anatomical locking compression plate was used for open reduction and fixation in 36 cases of olecranon fracture. The recovery of elbow joint function of patients after operation was evaluated.

RESULTS AND CONCLUSION: 36 cases of olecranon fracture received anatomical locking compression plate for open reduction and fixation, and were followed up for more than 6 months. No early complications were found in the incision such as infection or hematoma. They were primarily healed. Broberg and Morrey evaluation showed that the excellent and good rate was 94% (34/36). It is concluded that anatomical locking compression plate for olecranon fracture is simple to be operated. The fixation is firm. The patients can do early exercise postoperatively, less complications and good recovery of elbow joint function.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Ulna Fractures, Bone Plates, Internal Fixators, Elbow Joint

CLC Number:

R318

Qi Yan, Tian Jun, Yao Yu, Liu Hao, Sun Lei. Anatomical locking compression plate in the repair of olecranon fracture: 6-month follow-up evaluation of elbow function[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(4): 573-577.

Figures/Tables 2

References

[1] 张杰,王钧,李亚明,等.鹰嘴钩钢板与张力带钢丝治疗尺骨鹰嘴骨折的疗效评价[J].生物骨科材料与临床研究,2005,2(2):37-38.
[2] 巨少奎.张力带内固定治疗尺骨鹰嘴骨折[J].中国医药导报,2008, 5(25):161-162.
[3] Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987;(216):109-119.
[4] McKee MD, Pugh DM, Wild LM, et al. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. Surgical technique. J Bone Joint Surg Am. 2005;87 Suppl 1(Pt 1):22-32.
[5] Mehara AK, Bhan S. Ipsilateral radial head dislocation with radial shaft fracture: case report. J Trauma. 1993;35(6): 958-959.
[6] Cohen MS, Hastings H 2nd. Acute elbow dislocation: evaluation and management. J Am Acad Orthop Surg. 1998; 6(1):15-23.
[7] Nanno M, Sawaizumi T, Ito H. Transverse divergent dislocation of the elbow with ipsilateral distal radius fracture in a child. J Orthop Trauma. 2007;21(2):145-149.
[8] Chen NC, Jupiter JB, Steinmann SP, et al. Nonacute treatment of elbow fracture with persistent ulnohumeral dislocation or subluxation. J Bone Joint Surg Am. 2014; 96(15): 1308-1316.
[9] Gupta V, Kundu ZS, Kaur M, et al. Ipsilateral dislocation of the radial head associated with fracture of distal end of the radius: a case report and review of the literature. Chin J Traumatol. 2013;16(3):182-185.
[10] Celli A, Nicoli E. Fractures of the radial head associated with dislocation of the elbow. Chir Organi Mov. 2004;89(1):7-19.
[11] Mathew PK, Athwal GS, King GJ. Terrible triad injury of the elbow: current concepts. J Am Acad Orthop Surg. 2009;17(3): 137-151.
[12] Rasool MN. Dislocations of the elbow in children. J Bone Joint Surg Br. 2004;86(7):1050-1508.
[13] Nalbantoglu U, Kocaoglu B, Gereli A, et al. Open reduction and internal fixation of Mason type III radial head fractures with and without an associated elbow dislocation. J Hand Surg Am. 2007;32(10):1560-1568.
[14] Pugh DM, Wild LM, Schemitsch EH, et al. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg Am. 2004;86-A(6): 1122-1130.
[15] Foruria AM, Augustin S, Morrey BF, et al. Heterotopic ossification after surgery for fractures and fracture-dislocations involving the proximal aspect of the radius or ulna. J Bone Joint Surg Am. 2013;95(10):e66.
[16] Sanchez-Sotelo J, Romanillos O, Garay EG. Results of acute excision of the radial head in elbow radial head fracture-dislocations. J Orthop Trauma. 2000;14(5):354-358.
[17] Colton CL. Fractures of the olecranon in adults: classification and management. Injury. 1973;5(2):121-129.
[18] Veillette CJ, Steinmann SP. Olecranon fractures. Orthop Clin North Am. 2008;39(2):229-236, vii.
[19] Suresh SS. Management of comminuted olecranon fractures with precut K-wires and tension band wiring. Tech Hand Up Extrem Surg. 2009;13(2):82-84.
[20] Macintyre NR, Ilyas AM, Jupiter JB. Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech. 2009;76(1):7-14.
[21] McKay PL, Katarincic JA. Fractures of the proximal ulna olecranon and coronoid fractures. Hand Clin. 2002;18(1): 43-53.
[22] Lundy DW, Busch MT. Intramedullary fixation of unstable forearm fractures in children. J South Orthop Assoc. 1999; 8(4):269-274.
[23] Eathiraju S, Mudgal CS, Jupiter JB. Monteggia fracture- dislocations. Hand Clin. 2007;23(2):165-177, v.
[24] 黄诸侯,崔敏山,蔡宏图,等."8"字钢丝治疗尺骨鹰嘴骨折55例[J].中国骨与关节损伤杂志,2007,22(2):112.
[25] 黄仲波.尺骨鹰嘴骨折解剖钢板与张力带钢丝治疗中远期疗效比较[J].吉林医学,2010,31(16):2401-2402.
[26] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2011:551-552.
[27] 卢世璧,译.坎贝尔骨科学[M].济南:山东科学技术出版社,2001, 2266-2269.
[28] Eriksson E, Sahlin O, Sandahl U. Late results of conservative and surgical treatment of fracture of the olecranon. Acta Chir Scand. 1957;113(2):153-166.
[29] Sharma H, Sibinski M. Distal humerus lateral condyle mass fracture and olecranon fracture in a 4-year-old female--review of literature. Injury. 2006;37(7):675.
[30] Ahmad CS, ElAttrache NS. Valgus extension overload syndrome and stress injury of the olecranon. Clin Sports Med. 2004;23(4):665-676, x.
[31] O'Daly BJ, Harty JA, O'Malley N, et al. Bilateral olecranon fracture as first presentation of sarcoidosis: case report and review of the literature. J Shoulder Elbow Surg. 2008;17(4): e1-5.
[32] Schmittenbecher PP. State-of-the-art treatment of forearm shaft fractures. Injury. 2005;36 Suppl 1:A25-34.
[33] Ring D. Fractures of the coronoid process of the ulna. J Hand Surg Am. 2006;31(10):1679-1689.
[34] Herman MJ, Marshall ST. Forearm fractures in children and adolescents: a practical approach. Hand Clin. 2006;22(1): 55-67.
[35] Steinmann SP. Coronoid process fracture. J Am Acad Orthop Surg. 2008;16(9):519-529.
[36] Moss JP, Bynum DK. Diaphyseal fractures of the radius and ulna in adults. Hand Clin. 2007;23(2):143-151, v.
[37] 童文卿,王明海,董有海.尺骨鹰嘴解剖板治疗尺骨鹰嘴骨折[J].中国临床医学,2009,16(3):430.