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Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review

The purpose of this study is to provide a systematic review of the definition, ideal surgical method, complications, and prognosis of trans-olecranon fracture dislocations. An electronic search was performed in the PubMed, EMBASE, Scopus, and MEDLINE databases. The eligibility criteria included retr...

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Autores principales: Cho, Chul-Hyun, Kim, Du-Han, Na, Sang Soo, Choi, Byung-Chan, Kim, Beom-Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762091/
https://www.ncbi.nlm.nih.gov/pubmed/33291269
http://dx.doi.org/10.3390/diagnostics10121058
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author Cho, Chul-Hyun
Kim, Du-Han
Na, Sang Soo
Choi, Byung-Chan
Kim, Beom-Soo
author_facet Cho, Chul-Hyun
Kim, Du-Han
Na, Sang Soo
Choi, Byung-Chan
Kim, Beom-Soo
author_sort Cho, Chul-Hyun
collection PubMed
description The purpose of this study is to provide a systematic review of the definition, ideal surgical method, complications, and prognosis of trans-olecranon fracture dislocations. An electronic search was performed in the PubMed, EMBASE, Scopus, and MEDLINE databases. The eligibility criteria included retrospective clinical study and review article in subjects older than 18 years with trans-olecranon fracture dislocations. Trans-olecranon fracture dislocations are defined as fractures in which the stability of the ulnohumeral joint is lost due to the intra-articular fracture of the olecranon without disruption of the proximal radioulnar joint. The seven papers were included that met the eligibility criteria for the quantitative synthesis. Findings indicate that a pre-contoured plate was used in 88.3% of cases (68 of 77 reports), with no reports of complications, suggesting that the pre-contoured 3.5 mm plate is the first choice of treatment. Postoperative mean elbow range of motion for the flexion–extension arc was 121.1° and 146.5° for the pronation-supination arc. Methods for postoperative clinical scores included the Broberg/Morrey rating with a result of excellent or good in 82.9% of cases, the ASES score with a mean of 88.7, and the DASH score with a mean of 11.75. Complications included heterotopic ossification in 21.9% (23/105) of cases, arthrosis in 25.7% (27/105) of cases, nerve damage in 18.1% (19/105) of cases, and osteoarthritis in 14.3% (15/105). With better understanding of the mechanism of injury and proper diagnosis and treatment, findings of the current review suggest a positive outcome. PROSPERO registration No.: CRD42019126568.
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spelling pubmed-77620912020-12-26 Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review Cho, Chul-Hyun Kim, Du-Han Na, Sang Soo Choi, Byung-Chan Kim, Beom-Soo Diagnostics (Basel) Review The purpose of this study is to provide a systematic review of the definition, ideal surgical method, complications, and prognosis of trans-olecranon fracture dislocations. An electronic search was performed in the PubMed, EMBASE, Scopus, and MEDLINE databases. The eligibility criteria included retrospective clinical study and review article in subjects older than 18 years with trans-olecranon fracture dislocations. Trans-olecranon fracture dislocations are defined as fractures in which the stability of the ulnohumeral joint is lost due to the intra-articular fracture of the olecranon without disruption of the proximal radioulnar joint. The seven papers were included that met the eligibility criteria for the quantitative synthesis. Findings indicate that a pre-contoured plate was used in 88.3% of cases (68 of 77 reports), with no reports of complications, suggesting that the pre-contoured 3.5 mm plate is the first choice of treatment. Postoperative mean elbow range of motion for the flexion–extension arc was 121.1° and 146.5° for the pronation-supination arc. Methods for postoperative clinical scores included the Broberg/Morrey rating with a result of excellent or good in 82.9% of cases, the ASES score with a mean of 88.7, and the DASH score with a mean of 11.75. Complications included heterotopic ossification in 21.9% (23/105) of cases, arthrosis in 25.7% (27/105) of cases, nerve damage in 18.1% (19/105) of cases, and osteoarthritis in 14.3% (15/105). With better understanding of the mechanism of injury and proper diagnosis and treatment, findings of the current review suggest a positive outcome. PROSPERO registration No.: CRD42019126568. MDPI 2020-12-06 /pmc/articles/PMC7762091/ /pubmed/33291269 http://dx.doi.org/10.3390/diagnostics10121058 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Cho, Chul-Hyun
Kim, Du-Han
Na, Sang Soo
Choi, Byung-Chan
Kim, Beom-Soo
Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review
title Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review
title_full Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review
title_fullStr Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review
title_full_unstemmed Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review
title_short Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review
title_sort trans-olecranon fracture-dislocations of the elbow: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762091/
https://www.ncbi.nlm.nih.gov/pubmed/33291269
http://dx.doi.org/10.3390/diagnostics10121058
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