Abstract
Objectives: To evaluate the outcome of plate fixation for displaced olecranon fractures
 Materials and Methods: the present retrospective study was conducted in the Department of Orthopedics Jawaharlal Nehru Medical College, Bhagalpur from jan 2018 to October 2018. Total 25 patients who underwent plate fixation of displaced olecranon fractures were reviewed by two surgeons were independently.
 Results: mean arc of elbow motion 106.20 with range of motion from 10.20-116.70 and excellent clinical outcome was reported among 76% cases as per Broberg and Morrey scale. 22 patients achieved fracture union during 6 months follow up period.
 Conclusion: Plate fixation is an effective treatment option for displaced olecranon fractures with a good functional outcome and a low incidence of complications.
 Keywords: Olecranon, Fracture, Plate fixation, Ulna
Highlights
Proximal one third ulna fractures are common adult injuries around the elbow, which comprise broad spectrum of injuries including olecranon fractures and Monteggia fractures.The present retrospective study was conducted in the Department of Orthopedics Jawaharlal Nehru Medical College, Bhagalpur from Jan 2018 to October 2018.Total 25 patients who underwent plate fixation of displaced olecranon fractures were reviewed by two surgeons were independently.The management of complex, comminuted facture of the olecranon can be extremely difficult, especially when it is combined with fracture of the radial head and/or coronoid process of the ulna or injury of the collateral ligament of the elbow joint.i,iiThe treatment goals are to obtain anatomic reduction that remains stable over time, bone healing and functional recovery
To allow early functional mobilization and to prevent stiffness of the elbow joint, the fracture fixation has to provide secure stability.iii,iv Tension band wiring is frequently recommended for non-comminuted fractures.v,vi Plate fixation is commonly employed for comminuted fractures, because subchondral bony comminution opposite the tension band will cause failure in compression.vii,viii Plate fixation has been recommended for the management of simple olecranon fractures
Open reduction and stable internal fixation with the goal of anatomical reduction of the articular surface is the gold standard for olecranon fracture treatment
Summary
The present retrospective study was conducted in the Department of Orthopedics Jawaharlal Nehru Medical College, Bhagalpur from Jan 2018 to October 2018.Total 25 patients who underwent plate fixation of displaced olecranon fractures were reviewed by two surgeons were independently. The management of complex, comminuted facture of the olecranon can be extremely difficult, especially when it is combined with fracture of the radial head and/or coronoid process of the ulna or injury of the collateral ligament of the elbow joint.i,ii. Very few reports have addressed the treatment outcomes of comminuted fractures of the olecranon. The present study was conducted with the aim to evaluate clinical outcome of locking plate fixation in cases of comminuted olecranon
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