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273695

PLATE FIXATION FOR OLECRANON FRACTURES (PROXIMAL ULNA)

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Surgery

Abstract

Background: Complex fractures of olecranon with severe comminution have become more frequent in the recent years. However, these fractures still remain a treatment challenge for trauma surgeons. To allow early functional mobilization and to prevent stiffness of the elbow joint, the fracture fixation has to provide secure stability. Especially for severely comminuted olecranon fractures, fractures including the coronoid process and Monteggia fracture dislocations, plate fixation have evolved as gold a standard treatment. Objective: To investigate the efficacy of plate fixation of comminuted olecranon fractures in achieving good functional result measured by Mayo Elbow Performance score (MEPS) , union and range of motion. Patients and methods: A prospective case series was conducted at BeniSuefGeneralizedHospital on patients with comminuted olecranon fractures presenting to the emergency department. The study included fifteen patients, all of whom were treated by open reduction and internal fixation (ORIF) using anatomical locked plate, during the period from February 2020 to March 2021. All patients followed the same postoperative and rehabilitation program allowing early range of motion. The mean follow up period was 4 months. Patients were evaluated for functional outcome using MEPS, range of motion, union and secondary procedure rate. Results: After 4 months, the average range of motion was 106° ±19.57° with a mean extension loss of 16.67° ± 12.91° and mean flexion range of 122.67° ± 7.99° .The mean functional score was 87.67 ± 13.61 with 86% of cases achieving good or excellent outcomes. 93.3% of patients united, and 6.6% required secondary grafting with no cases of hardware breakage, or fracture displacement. The secondary procedure rate was 12.5%. Conclusion: Anatomically preshaped locking compression plate (LCP) was an effective fixation method for comminuted fractures of the olecranon allowing reliable stability for early elbow motion.

DOI

10.21608/amj.2023.273695

Keywords

Plate fixation, Olecranon Fractures, proximal ulna, locking compression plate

Authors

First Name

Mohamed

Last Name

Ali Mahmoud Ali

MiddleName

-

Affiliation

Department of Orthopedics, Faculty of Medicine, Al-Azhar University

Email

dr.mohamedali23@gmail.com

City

-

Orcid

-

First Name

Adnan

Last Name

Abd El-Aleem El-Sebaie

MiddleName

-

Affiliation

Department of Orthopedics, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Ismail Hammouda

MiddleName

-

Affiliation

Department of Orthopedics, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

52

Article Issue

1

Related Issue

38156

Issue Date

2023-01-01

Receive Date

2022-12-11

Publish Date

2023-01-01

Page Start

231

Page End

246

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_273695.html

Detail API

https://amj.journals.ekb.eg/service?article_code=273695

Order

19

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

PLATE FIXATION FOR OLECRANON FRACTURES (PROXIMAL ULNA)

Details

Type

Article

Created At

24 Dec 2024