Locked plating of geriatric olecranon fractures leads to low fixation failure and acceptable complication rates

Wise, Kelsey; Peck, Sarah; Smith, Lauren; Myeroff, Chad

doi:10.1016/j.jseint.2021.02.013

Cited by 8 publications

(2 citation statements)

References 38 publications

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“… 2 A final study of 36 patients aged ≥75 years or more treated with locked plating found an 11% rate of major complications requiring secondary intervention. 29 It has been documented that surgeons underpredict the frequency of removal of implants and patient dissatisfaction after olecranon fracture fixation. 12 …”

Section: Discussionmentioning

confidence: 99%

Treatment of olecranon fractures in older individuals: a cross-sectional survey of surgeon treatment preferences

Woolnough,

Caines,

Pollock

et al. 2024

JSES International

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Section: Discussionmentioning

confidence: 99%

Treatment of olecranon fractures in older individuals: a cross-sectional survey of surgeon treatment preferences

Woolnough,

Caines,

Pollock

et al. 2024

JSES International

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“…28 Loss of fixation was found in 8.3% of the patients with geriatric olecranon fractures managed operatively with a locking plate. 29 Revision in a case of fixation failure is challenging due to the bone fragmentation and presence of previous screw holes. Excision of the comminuted fragments and triceps advancement was described as a salvage procedure if internal fixation fails.…”

Section: Discussionmentioning

confidence: 99%

Triple suture fixation for displaced comminuted olecranon fracture with a stable ulnohumeral joint

Luenam,

Kosiyatrakul

2023

J Orthop Surg (Hong Kong)

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Purpose To report the outcome of a novel fixation technique using three high-strength sutures which is including articular buttress suture, cerclage suture, and tension band with off-loading triceps suture (triple suture fixation) in the treatment of displaced comminuted olecranon fracture with a stable ulnohumeral joint (Mayo type IIB). The rationale of using this technique is that the sutures have been used to stabilize multiple fracture fragments in all sides of the olecranon. Material and Methods Between July 2018 and July 2021, 10 patients (7 women, 3 men; mean age, 49.9 years; mean follow-up duration, 27.8 months) with Mayo type IIB olecranon fractures who underwent triple suture fixation were included in the study. The elbow was immobilized in a splint for 2 weeks postoperatively. Range-of-motion exercises were initiated after splint removal and weight bearing was allowed at 6 weeks postoperatively. Results Average active range of motion of the elbow was 145° of flexion (range, 135°–150°), 6.5° of extension (range, 0°–30°), 83° of supination (range, 70°–85°), and 77.5° of pronation (range, 70°–80°). Mean MEPS was 98.3 (range, 85–100) and DASH score was 3.1 (range, 0–10) at the final follow-up. Radiographic data at the final follow-up analyzed by paired t test demonstrated that there was no statistically significant difference of proximal olecranon height (OH), trochlear notch width (TW), and OH/TW ratio between postoperative treatment and normal side ( p-value >.05). No complication of implant prominence, fixation failure, nonunion, infection or heterotopic ossification was found postoperatively. Breakage of drill bit occurred during drilling a distal oblique hole for articular buttress suture in one patient. Conclusion The triple suture fixation is an effective treatment with low incidence of complications in treatment of Mayo type IIB olecranon fractures. Larger comparative studies are needed to confirm the value of such technique.

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Epidemiology of Fracture Fixation Failure

Rodham,

Giannoudis,

Tornetta

et al. 2024

Failed Fracture Fixation

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Locked plating of geriatric olecranon fractures leads to low fixation failure and acceptable complication rates

Cited by 8 publications

References 38 publications

Treatment of olecranon fractures in older individuals: a cross-sectional survey of surgeon treatment preferences

Treatment of olecranon fractures in older individuals: a cross-sectional survey of surgeon treatment preferences

Triple suture fixation for displaced comminuted olecranon fracture with a stable ulnohumeral joint

Epidemiology of Fracture Fixation Failure

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