AI Article Synopsis
- The study focused on the effectiveness of treating olecranon fractures and osteotomies using two bicortical screws over a period from 2008 to 2019.
- Data was gathered retrospectively, assessing outcomes such as the need for re-operation, complications, bone alignment, and elbow movement post-treatment.
- Results showed that patients generally achieved near full range of motion with low complication rates, although there were some cases of reduction loss in older patients with osteoporosis, managed without further surgery.
Article Abstract
Aims: The aim of this study is to report the results of a case series of olecranon fractures and olecranon osteotomies treated with two bicortical screws.
Methods: Data was collected retrospectively for all olecranon fractures and osteotomies fixed with two bicortical screws between January 2008 and December 2019 at our institution. The following outcome measures were assessed; re-operation, complications, radiological loss of reduction, and elbow range of flexion-extension.
Results: Bicortical screw fixation was used to treat 17 olecranon fractures and ten osteotomies. The mean age of patients being treated for olecranon fracture and osteotomy were 48.6 years and 52.7 years respectively. Overall, 18% of olecranon fractures were classified as Mayo type I, 71% type II, and 12% type III. No cases of fracture or osteotomy required operative re-intervention. There were two cases of loss of fracture reduction which occurred in female patients ≥ 75 years of age with osteoporotic bone. In both cases, active extension and a functional range of movement was maintained and so the loss of reduction was managed non-operatively. For the fracture fixation cohort, at final follow-up mean elbow extension and flexion were -5 ± 5 and 136 ± 7, with a mean arc of motion of 131 ± 11.
Conclusion: This series has shown that patients regain near full range of elbow flexion-extension and complication rates are low following bicortical screw fixation of olecranon fractures and osteotomy.Cite this article: 2020;1-7:376-382.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659655 | PMC |
| http://dx.doi.org/10.1302/2633-1462.17.BJO-2020-0069.R1 | DOI Listing |
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