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Postoperative dorsal step-off predicts olecranon osteotomy union: a retrospective cohort study.
Eur J Orthop Surg Traumatol
December 2024
University Hospitals Cleveland Medical Center, Cleveland, USA.
Purpose: Olecranon osteotomy has been associated with loss of reduction, nonunion, implant failure, and migration of wires. We aim to evaluate quality of reduction of the osteotomy site as a predictor of olecranon osteotomy nonunion.
Methods: One hundred and twenty-five distal humerus fractures that underwent open reduction internal fixation (ORIF) were reviewed.
Background: Most olecranon fractures are intra-articular, affecting the extensor mechanism of the elbow, and are treated surgically with dorsal plate fixation or tension band. Due to shortcomings of dorsal plates related to prominence, insufficient fixation of sagittal fracture lines, and difficulty matching proximal ulna dorsal angulation (PUDA), dual medial and lateral plating (DP) has been developed. We hypothesized that olecranon fractures treated with DP would have low complication rates and low incidence of hardware removal compared with those treated with traditional methods of fixation.
View Article and Find Full Text PDFPerforated Kirschner wire tension band in the treatment of Mayo IIA olecranon fractures.
Front Surg
November 2024
Department of Orthopedic Surgery, Shanghai Seventh People's Hospital, Shanghai, China.
Purpose: To explore the clinical efficacy of perforated Kirschner wire tension band in the treatment of Mayo IIA olecranon fracture.
Method: A retrospective study was conducted to analyze the clinical data of 96 adult patients with olecranon fractures of the ulna. Thirty-four cases underwent perforated Kirschner wire tension band fixation(group A), which included 21 males and 13 females, with an average age of 49.
Ulnar Nerve Management in Complex Elbow Dislocations: A Retrospective Monocentric Study.
J Pers Med
October 2024
Hand Surgery and Reconstructive Microsurgery Department, CTO Hospital, A.O.U. Città della Salute e della Scienza, 10126 Turin, Italy.
Article Synopsis
- The ulnar nerve is often affected by complex elbow dislocations due to its unique anatomy, leading to variable treatment outcomes and pain among patients.
- A study involving 44 patients revealed that those who had ulnar nerve transposition during surgery experienced more incidents of neuropathy, although their symptoms were less severe but lasted longer compared to those who did not have the procedure.
- The findings suggest that routine transposition of the ulnar nerve may not be necessary in these cases, but further research with larger sample sizes is needed to confirm these conclusions.
Suture fixation versus tension band wiring in simple displaced olecranon fractures - a study protocol.
Dan Med J
October 2024
Department of Orthopaedic Surgery, Horsens Regional Hospital, Denmark.
Introduction: Olecranon fractures, particularly the Mayo Type 2A two-part fracture, are typically treated with Kirschner wires (K-wires) and tension band wiring. While effective, this method is associated with a high complication risk, leading to reoperations. Recently, new suture fixation techniques have been described that do not involve the insertion of metal.
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