Fixation of Olecranon Fractures Using Plating System
Journal of the Korean Society for Surgery of the Hand
;
: 29-36, 2012.
Artigo
em Coreano
| WPRIM
| ID: wpr-209730
ABSTRACT
PURPOSE:
To evaluate the clinical and radiological outcomes of plate fixation for olecranon fractures which was difficult to be fixed firmly with tension band wiring alone. MATERIALS ANDMETHODS:
From 1995 through 2008, 20 patients who underwent plate fixation of an olecranon fracture were included in this retrospective study. According to the Mayo classification, there were 3 type IIA fracture, 7 type IIB, and 10 type IIIB fractures. Clinical evaluation was done based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo Elbow Performance score was used for evaluation of functional recovery.RESULTS:
Union was achieved in 18 (90%) at an average of 5.6 months. The mean arc of elbow motion was 123degrees and the mean rotation arc was 81degrees. According to the MEPS, sixteen of twenty patients had a good or excellent outcome. The mean DASH score was 16.3. Most common complication was hardware irritation in 3 patients.CONCLUSION:
Plate fixation is an effective treatment option for severe olecranon fracture pattern like comminuted fractures, Monteggia equivalent with unstable elbows and nonunions.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Braço
/
Ombro
/
Estudos Retrospectivos
/
Seguimentos
/
Amplitude de Movimento Articular
/
Fraturas Cominutivas
/
Cotovelo
/
Olécrano
/
Mãos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society for Surgery of the Hand
Ano de publicação:
2012
Tipo de documento:
Artigo
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