Olecranon Fractures - Simon Coleridge 30/1/2001
Olecranon Fractures
o Internal fixation since 1883, allowing early active movement.
o Classification: Mayo types I-III, for the olecranon and Bado Types I-IV in the case of the Monteggia fracture.
o Mayo Type I fractures are generally treated conservatively. While type II, the classic fracture pattern, is normally ORIF. Classically type II fractures are treated with tension band wires and type III with plate fixation.
o Monteggia (Giovanni Monteggia 1814) fractures in adults and children should be treated separately as management and outcome is very different.
o Good review article by Morrey JBJS 1995; 77A (2):317-327
|
Brief
|
HUME Clinical Orthopaedics 1992
|
|
Author
|
Mary C Hume (Southern California Medical Centre)
|
|
Title
|
Olecranon Fractures a Clinical and Radiological Comparison of Tension Band Wiring and Plate Fixation
|
|
Reference
|
Clin Orth 1992; 285:229-235
|
|
Summary
|
Best paper in the literature at comparing the AO tension band wiring with plate fixation, looking at complications, functional outcome and radiological appearance.
|
|
Critique
|
Retrospective paper well conducted. Only 41 patients. Concluded, despite slightly longer op time, with plate fixation, there was less complication from metalwork, the position was more anatomical, the ROM and patient satisfaction was better with the plate. They did take into account the different fracture patterns, and it seemed tension band wiring was being used for comminuted fractures!?
|
Please log in to view the content of this page.
If you are having problems logging in, please refer to the login help page.
|
