Figure 1 from Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon. | Semantic Scholar (2024)

Orthogonal plating with a posterior LCP and a small medial and/or lateral locking compression plate (LCP) prior to placing a posterior contoured 3.5mm-2.7mm LCP is a safe technique that leads to excellent healing rates, and good clinical and patient-reported outcomes.

The present study showed high removal rate of hardware despite the excellent clinical result, and surgeons should be aware that plate fixation of the olecranon fracture requires the removal of a plate in the majority of cases.

Olecranon fracture in dogs and cats and their stabilization with tension band wiring or plate osteosynthesis is described and long-term functional outcomes were excellent regardless of the technique used.

The satisfactory results can be obtained if appropriate open reduction and stable internal fixation using oleCranon LCP plate is achieved in unstable olecranon fractures.

The findings of this study indicate that both with the use of TBW and plate fixation excellent/good clinical outcomes with minimal loss of physical capacity, little pain and disability can be obtained in the majority of patients with simple and comminuted displaced olecranon fractures.

A stable, functional elbow can be restored in most patients with proximal ulna fractures treated with open reduction and internal fixation, and loss of full flexion is likely with high-energy trauma, complex fracture patterns, and concomitant injuries.

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Osteosynthesis with tension-band wiring technique in olecranon fractures offers considerable advantages: a stable fixation is obtained at a very low cost, development of joint stiffness is avoided by early elbow range of motion, and minimal joint stiffness seen in the long term does not present as a functional disability.

Outcomes of 10 patients who underwent plate osteosynthesis for severe olecranon fractures are reviewed, finding the deep infection rate is higher in patients with severe soft-tissue injury.

In the treatment of comminuted olecranon fractures, a contoured locking compression plate combined with an intramedullary screw provides sufficient stability for early postoperative functional rehabilitation, with an excellent fracture union rate and very good clinical outcomes.

Isolated, closed fractures of the olecranon in adults have a favorable, long-term outcome andRadiographic signs of osteoarthritis were found in 6% of the formerly fractured elbows versus zero percent in the uninjured, of which only two patients had a poor outcome.

Postoperative loss of reduction, leading to a significant articular step-off or gap, was more frequent after TBW than after PF, and plate fixation should be carefully considered when planning open reduction and internal fixation of displaced olecranon fractures.

Plate fixation is an effective treatment option for displaced olecranon fractures with a good functional outcome and a low incidence of complications.

Excision of the olecranon fragment(s) should be reserved for those cases when anatomic restoration cannot be achieved with internal fixation, even in the presence of severe comminution or radial head dislocation.

Congruent anatomic plating is a safe, effective option for the treatment of olecranon fractures with a low rate of hardware removal and stability with early motion and is compared to other available plating systems.

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