Mini-fragment plating of olecranon fractures is comparable to precontoured small-fragment plating

Wadhwa, Harsh; Oquendo, Yousi; Goodnough, L. Henry; DeBaun, Malcolm R.; Bishop, Julius A.; Gardner, Michael J.

doi:10.1016/j.jor.2022.02.009

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Clinical studies have demonstrated that the use of mini fragment (2.7 mm or smaller) fixation of olecranon fractures is safe and efficacious, as biomechanical testing has shown that these smaller plates had similar construct stability to larger plates. 5 Similarly, Kotain et al 6 found good to excellent postoperative radiologic outcomes in the majority of distal radius fractures repaired with 2.7 mm screws. Still, there is a paucity of research concerning the use of mini fragment plates and screws in the fixation of adult forearm fractures.…”

mentioning

confidence: 93%

Forearm Fracture Fixation with Locking Plates: Does Size Matter?

Justice,

Adams,

Kasper

et al. 2024

Journal of Hand Surgery Global Online

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mentioning

confidence: 93%

Forearm Fracture Fixation with Locking Plates: Does Size Matter?

Justice,

Adams,

Kasper

et al. 2024

Journal of Hand Surgery Global Online

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Olecranon Fractures

Bakircioglu,

Kamaci

2023

Orthopaedic Sports Medicine

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Low Complication Rates in Olecranon Fracture Fixation With Dual Plating

Brown,

Vu,

et al. 2024

Orthopedics

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Background Most olecranon fractures are intra-articular, affecting the extensor mechanism of the elbow, and are treated surgically with dorsal plate fixation or tension band. Due to shortcomings of dorsal plates related to prominence, insufficient fixation of sagittal fracture lines, and difficulty matching proximal ulna dorsal angulation (PUDA), dual medial and lateral plating (DP) has been developed. We hypothesized that olecranon fractures treated with DP would have low complication rates and low incidence of hardware removal compared with those treated with traditional methods of fixation. Materials and Methods The database of a single institution was reviewed for the period January 2017 to April 2023 for adults with olecranon fractures receiving DP fixation. Open fractures, fracture dislocations, previous elbow injuries, and pathologic fractures were excluded. Demographics, pre- and postoperative imaging, reoperations, and range of motion were collected. PUDA and varus angulation measurements, intra-articular step off, and fracture distraction were recorded. Results A total of 42 fractures in 41 patients were reviewed. Mean follow-up was 8.7 months (range, 3–36 months). One patient reported symptomatic hardware at 6 weeks that had resolved by 3 months, and 1 reported persistent symptomatic hardware not bothersome enough to warrant removal. Five patients (11.9%) had at least 1 postoperative complication. The hardware removal rate was 2.4%. Conclusion DP for olecranon fractures represents a valuable strategy in fracture treatment. We report a low hardware removal rate of 2.4%, with removal being done for infection, not symptomatic hardware. DP provides a reliable method of fixation, helps re-create native anatomy, and has a low complication rate compared with standard dorsal plating. [ Orthopedics . 202x;4x(x):xx–xx.]

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Mini-fragment plating of olecranon fractures is comparable to precontoured small-fragment plating

Cited by 3 publications

References 25 publications

Forearm Fracture Fixation with Locking Plates: Does Size Matter?

Forearm Fracture Fixation with Locking Plates: Does Size Matter?

Olecranon Fractures

Low Complication Rates in Olecranon Fracture Fixation With Dual Plating

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