Results of non-operative treatment of olecranon fracture in over 75-year-olds

Marot, Vincent; Bayle-Iniguez, Xavier; Cavaignac, Étienne; Bonnevialle, Nicolas; Mansat, Pierre; Murgier, Jérôme

doi:10.1016/j.otsr.2017.10.015

Cited by 34 publications

(38 citation statements)

References 24 publications

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“…Complication rates after operative treatment are considerably increased in the elderly patient [3,4]. As a result, nonoperative treatment of olecranon fractures in the elderly has been advocated in recent years by several authors [3,5,8,18]. In low-demand elderly patients in particular, nonoperative therapy may lead to satisfactory results, while active patients may still benefit from surgery.…”

Section: » Complication Rates After Operative Treatment Are Increasedmentioning

confidence: 99%

Nonoperative treatment of olecranon fractures in the elderly—a systematic review

et al. 2018

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Nonoperative treatment of olecranon fractures in the elderly-a systematic review Fractures of the olecranon represent a common elbow pathology and comprise around 1% of all fractures in the adult patient. The incidence of olecranon fractures is reported to be approximately 11.5/100,000/year. Most olecranon fractures are displaced fractures while up to 12% are stable undisplaced fractures [2, 11, 13, 14, 17]. Open reduction and internal fixation (ORIF) is considered the gold standard of treatment for olecranon fractures [6, 15]. Tensionband wiring (TBW) is most commonly used for simple olecranon fractures while complex fractures are mainly addressed with plate fixation [1, 4, 6, 12, 19].

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Section: » Complication Rates After Operative Treatment Are Increasedmentioning

confidence: 99%

Nonoperative treatment of olecranon fractures in the elderly—a systematic review

et al. 2018

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“…In the studies by Duckworth et al and Veras Del Monte et al, treatment consisted of immobilization of the elbow at 60–90° of flexion for a mean period of 4.1 weeks (range, 1–12), 16 , 19 whereas in the studies by Duckworth et al, and Marot et al, collar-and-cuff or plaster cast was used for two weeks. 24 , 25 In all previously mentioned studies, immobilization of the elbow was followed by a rehabilitation protocol, consisting initially of passive elbow mobilization and later of active range of motion (ROM) exercises. However, in the study by Gallucci et al, the treatment protocol was based on early mobilization.…”

Section: Methods Of Treatmentmentioning

confidence: 99%

“… 10 , 12 , 22 , 23 There have been a limited number of studies reporting functional results and patients’ satisfaction after non-operative treatment of displaced olecranon fractures in the elderly ( Table 1 ). However, most of the studies are retrospective case series with a total of 83 patients, 3 , 16 , 19 with only two prospective studies 24 , 25 with a total of 22 patients.…”

Section: Non-operative Treatmentmentioning

confidence: 99%

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Displaced olecranon fractures in the elderly: outcomes after non-operative treatment – a narrative review

Savvidou

Koutsouradis²,

Kaspiris

et al. 2020

EFORT Open Reviews

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Operative treatment with tension band wiring or plate is the gold standard of care for displaced olecranon fractures. In elderly patients, multiple comorbidities combine with increased intraoperative risks, and postoperative complications may yield poor results. There are small series in the literature that show promising results with non-operative treatment. Non-operative treatment may provide reasonable function and satisfaction in the elderly population and could be considered as a treatment option in this group, especially for those with comorbidities, to avoid postoperative complications and the need for re-operation. Cite this article: EFORT Open Rev 2020;5:391-397. DOI: 10.1302/2058-5241.5.190041

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“…Der Großteil der Olekranonfrakturen wird operativ versorgt. Die konservative Therapie ist alten, multimorbiden Patienten vorbehalten, die nach 6 bis 12 Monaten ein zufriedenstellendes funktionelles Ergebnis ohne Komplikationen erzielen [3,4]. Ziel der operativen Versorgung ist die stabile WiederherstellungderGelenkkongruenz mit Neutralisation der Zugkräfte durch den Trizeps, um eine frühfunktionelle Nachbehandlung zu ermöglichen.…”

Section: Olekranonfrakturunclassified