Abstract
Transolecranon fracture-dislocations are a rare type of olecranon fracture-dislocation of the elbow involving an olecranon fracture with an anterior radiocapitellar dislocation. In these fractures, the relationship between the proximal radioulnar joint is maintained. Principles of surgical fixation involve anatomic articular reduction of the olecranon, reduction of the radiocapitellar joint, and restoring elbow stability to allow early range of motion. With proper recognition of this fracture pattern and application of fixation principles, good outcomes can be expected for the majority of patients after this high-energy injury.
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