Journal List > Arch Hand Microsurg > v.24(2) > 1125367

Arch Hand Microsurg. 2019 Jun;24(2):133-141. Korean.
Published online May 30, 2019.  https://doi.org/10.12790/ahm.2019.24.2.133
Copyright © 2019 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.
The Result of Locking Compression Plate Olecranon Plate Fixation for Unstable Comminuted Olecranon Fracture
In-Tae Hong,1 Kyunghun Jung,2 Yoon Seok Kim,3 and Soo-Hong Han2
1Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
2Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
3Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Corresponding author: Soo-Hong Han. Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea. TEL: +82-31-780-5273, FAX: +82-31-708-3578, Email: hsoohong@cha.ac.kr
Received Jan 02, 2019; Revised Mar 13, 2019; Accepted Mar 28, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

Olecranon fractures of Mayo type IIIb occurring in less than 15% of total olecranon fractures usually require open reduction and internal fixation with plate. Concomitant injury to the surrounding soft tissue is common and anatomical reduction is relatively difficult, which may be predictive of poor prognosis compared to simple fracture. We performed open reduction and locking compression plate (LCP) olecranon plate fixation in Mayo type IIIb fractures, and analyzed the results of the treatment.

Methods

We retrospectively analyzed 29 patients who underwent LCP plate fixation for olecranon fractures of Mayo type IIIb. Twenty four males and 5 females were included, and the average follow-up period was 17 months. Radiographic analysis was performed to assess the stability of the joint, union time of the fracture, and the occurrence of traumatic arthritis at the final follow-up. We analyzed the range of motion of the elbow at the final follow-up, the Mayo elbow performance score (MEPS), the disability of the arm, shoulder and hand (DASH) score, and postoperative complications.

Results

All cases showed bony union and stable elbow joint on simple plain radiography. On final follow-up radiography, traumatic arthritis was observed in 1 case. The mean range of motion of the elbow was 129.7°, the mean MEPS was 88.6, and DASH score was 11.04.

Conclusion

Based on the results of this study, the satisfactory results can be obtained if appropriate open reduction and stable internal fixation using olecranon LCP plate is achieved in unstable comminuted olecranon fractures.

Keywords: Olecranon; Fracture; Internal fixators; Comminuted fractures

Figures


Fig. 1
Preoperative plain radiographs and computed tomography scan of 65 years old male who sustained a traffic accident show Mayo type IIIb olecranon fracture.
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Fig. 2
Follow-up radiographs taken at 6 months after surgery show bony union and stable elbow joint.
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Fig. 3
Plate and screws were all removed at 6 months after surgery.
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Fig. 4
Photographs of the patient taken at 1 year after surgery.
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Fig. 5
Preoperative plain radiographs and computed tomography scan of 71 years old female who was injured by slip and fall show Mayo type IIIb olecranon fracture.
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Fig. 6
Follow-up radiographs taken at 3 years after surgery show bony union with mild osteoarthritic change of elbow joint.
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Fig. 7
Photographs of the patient taken at 3 years after surgery.
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Tables

Notes

CONFLICTS OF INTEREST:The authors have nothing to disclose.

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