Cargando…
A novel internal fixation technique for the treatment of olecranon avulsion fracture
OBJECTIVE: Tension band wiring and proximal ulnar plate fixation are commonly used fixation methods for olecranon fractures. However, they may not be suitable for repairing proximal olecranon avulsion fractures. In this study, we present a novel fixation technique for the treatment of proximal avuls...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886313/ https://www.ncbi.nlm.nih.gov/pubmed/36726952 http://dx.doi.org/10.3389/fsurg.2022.1019767 |
_version_ | 1784880109111476224 |
---|---|
author | Qi, Hongfei Li, Zhong Ma, Teng Du, Bing Ren, Cheng Xu, Yibo Huang, Qiang Zhang, Kun Lu, Yao Li, Ming |
author_facet | Qi, Hongfei Li, Zhong Ma, Teng Du, Bing Ren, Cheng Xu, Yibo Huang, Qiang Zhang, Kun Lu, Yao Li, Ming |
author_sort | Qi, Hongfei |
collection | PubMed |
description | OBJECTIVE: Tension band wiring and proximal ulnar plate fixation are commonly used fixation methods for olecranon fractures. However, they may not be suitable for repairing proximal olecranon avulsion fractures. In this study, we present a novel fixation technique for the treatment of proximal avulsion fractures, which is a T-shaped plate combined with a wire. MATERIALS AND METHODS: Between March 2016 and May 2020, surgery was performed on 16 patients with proximal olecranon avulsion fractures by using a T-shaped plate combined with a wire fixation at our hospital. The parameters followed were fracture healing time, elbow range of motion (ROM), related functional scores (the Mayo score and the DASH score), and complications related to internal fixation. RESULTS: The average follow-up period was 17 (14–21) months and fractures had healed in all patients included in the study, with an average fracture union of 9.25 (8–12) weeks. No patient reported fixation failure, serious infection, or revision surgery. The average ROM of the elbow joint was 123° (120–135°). The Mayo score was excellent in 11 patients and good in 5. The average DASH score was 17.75 (12–24). CONCLUSION: Olecranon avulsion fractures were fixed with a T-shaped steel plate combined with a steel wire, which can be used for early functional exercise and for achieving good final functional results. This method can provide stable fixation, especially in elderly patients with osteoporosis. |
format | Online Article Text |
id | pubmed-9886313 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98863132023-01-31 A novel internal fixation technique for the treatment of olecranon avulsion fracture Qi, Hongfei Li, Zhong Ma, Teng Du, Bing Ren, Cheng Xu, Yibo Huang, Qiang Zhang, Kun Lu, Yao Li, Ming Front Surg Surgery OBJECTIVE: Tension band wiring and proximal ulnar plate fixation are commonly used fixation methods for olecranon fractures. However, they may not be suitable for repairing proximal olecranon avulsion fractures. In this study, we present a novel fixation technique for the treatment of proximal avulsion fractures, which is a T-shaped plate combined with a wire. MATERIALS AND METHODS: Between March 2016 and May 2020, surgery was performed on 16 patients with proximal olecranon avulsion fractures by using a T-shaped plate combined with a wire fixation at our hospital. The parameters followed were fracture healing time, elbow range of motion (ROM), related functional scores (the Mayo score and the DASH score), and complications related to internal fixation. RESULTS: The average follow-up period was 17 (14–21) months and fractures had healed in all patients included in the study, with an average fracture union of 9.25 (8–12) weeks. No patient reported fixation failure, serious infection, or revision surgery. The average ROM of the elbow joint was 123° (120–135°). The Mayo score was excellent in 11 patients and good in 5. The average DASH score was 17.75 (12–24). CONCLUSION: Olecranon avulsion fractures were fixed with a T-shaped steel plate combined with a steel wire, which can be used for early functional exercise and for achieving good final functional results. This method can provide stable fixation, especially in elderly patients with osteoporosis. Frontiers Media S.A. 2023-01-16 /pmc/articles/PMC9886313/ /pubmed/36726952 http://dx.doi.org/10.3389/fsurg.2022.1019767 Text en © 2023 Qi, Li, Ma, Du, Ren, Xu, Huang, Zhang, Lu and Li. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Qi, Hongfei Li, Zhong Ma, Teng Du, Bing Ren, Cheng Xu, Yibo Huang, Qiang Zhang, Kun Lu, Yao Li, Ming A novel internal fixation technique for the treatment of olecranon avulsion fracture |
title | A novel internal fixation technique for the treatment of olecranon avulsion fracture |
title_full | A novel internal fixation technique for the treatment of olecranon avulsion fracture |
title_fullStr | A novel internal fixation technique for the treatment of olecranon avulsion fracture |
title_full_unstemmed | A novel internal fixation technique for the treatment of olecranon avulsion fracture |
title_short | A novel internal fixation technique for the treatment of olecranon avulsion fracture |
title_sort | novel internal fixation technique for the treatment of olecranon avulsion fracture |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886313/ https://www.ncbi.nlm.nih.gov/pubmed/36726952 http://dx.doi.org/10.3389/fsurg.2022.1019767 |
work_keys_str_mv | AT qihongfei anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT lizhong anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT mateng anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT dubing anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT rencheng anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT xuyibo anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT huangqiang anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT zhangkun anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT luyao anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT liming anovelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT qihongfei novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT lizhong novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT mateng novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT dubing novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT rencheng novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT xuyibo novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT huangqiang novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT zhangkun novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT luyao novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture AT liming novelinternalfixationtechniqueforthetreatmentofolecranonavulsionfracture |