Intramedullary screw fixation for simple displaced olecranon fractures
| Autor: | Abhiram R. Bhashyam, R. Marijn Houwert, Willem-Maarten Bosman, Benjamin L. Emmink, Jort Keizer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Radiography Olecranon Critical Care and Intensive Care Medicine law.invention Intramedullary rod 03 medical and health sciences Fixation (surgical) 0302 clinical medicine law Dash medicine Orthopedics and Sports Medicine 030212 general & internal medicine 030222 orthopedics business.industry Trauma center Olecranon fracture medicine.disease Surgery medicine.anatomical_structure Emergency Medicine Original Article Intramedullary screw Range of motion business |
| Zdroj: | European Journal of Trauma and Emergency Surgery |
| ISSN: | 1863-9941 1863-9933 |
| Popis: | Purpose Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Thus, the purpose of this study was to report the clinical and functional outcomes of olecranon fractures treated with an intramedullary cannulated screw. Methods We identified 15 patients (average age at index procedure 44 years, range 16–83) with a Mayo type I or IIA olecranon fracture who were treated with an intramedullary cannulated screw at a single level 2 trauma center between 2012 and 2017. The medical record was reviewed to assess radiographic union, postoperative range of motion and complications (including hardware removal). Patient-reported outcome was evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score. Average follow-up was 22 months (range 8–36 months). Results By the 6th month post-operative visit, 14 patients had complete union of their fracture and 1 patient had an asymptomatic non-union that did not require further intervention. Average flexion was 145° (range 135–160) and the average extension lag was 11° (range 0–30). Implants were removed in 5 patients due to soft-tissue irritation. Average DASH score (± standard deviation) by final follow-up was 16 ± 10. Conclusions Fixation of simple olecranon fractures with an intramedullary screw is a safe and easy fixation method in young patients, leading to good functional and radiological results. Compared to available data, less hardware removal is necessary than with tension-band wiring or plate fixation. |
| Databáze: | OpenAIRE |
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