CLINICAL OBSERVATION OF STELLATED PLATE FIXATION OF OLECRANAL AVULSION FRACTURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

GONGXianbin ^1,2 ,  SHUHengsheng ² , WANGHongchuan ² , ZHAOJiaguo ² , LIWeizhe ² , SHIBowen ² , LIANGYongjian ^1,3

1. Graduate College of Tianjin Medical University, Tianjin, 300070, P. R. China;
2. Department of Traumatic Orthopedics, Tianjin Hospital;
3. Logistics University of PAPF;

Corresponding author：

SHUHengsheng, Email: drhsshu@hotmail.com

Keywords：

Olecranal avulsion fracture; Stellated plate; Internal fixation

DOI：

10.7507/1002-1892.20140093

Video：

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Objective To evaluate the clinical outcome of stellated plate fixation of olecranal avulsion fracture. Methods A retrospective analysis was made on the clinical data from 24 cases of olecranal avulsion fracture treated with stellated plate between April 2007 and April 2012. There were 13 males and 11 females, with an average age of 32 years (range, 18-65 years). The causes of injury included falling injury (14 cases), sports injury (7 cases), and machine injury (3 cases). The left elbow was involved in 4 cases and the right side in 20 cases. The average disease duration was 11 hours (range, 3 hours-2 days). According to Colton's classification criteria, all cases were classified as type Ⅱ A (avulsion fracture). One case had supracondylar humeral avulsion fracture, and 15 cases had triceps tendon tears. Results All the cases obtained healing of incision by first intention, without infection and ulnar nerve injury. The average follow-up period was 24 months (range, 18-48 months). All fractures healed after 6-10 weeks (mean, 7 weeks). According to Morrey's elbow performance score, the results were excellent in 17 cases, good in 4 cases, and fair in 3 cases, with an excellent and good rate of 87.5%. There was no significant difference in the elbow range of motion (ROM) between the injured side (136.0±16.2)° and normal side (143.1±2.9)° (t=2.007, P=0.052). The ROM of normal elbow was significantly larger than that of the injured side in 3 patients who achieved fair results (t=2.820, P=0.048), but no significant difference was found in patients who achieved excellent and good results (P>0.05). Conclusion The stellated plate has good clinical outcome in treatment of olecranal avulsion fracture, which has advantages of simple operation, firm fixation, and early functional exercise.

Citation： GONGXianbin, SHUHengsheng, WANGHongchuan, ZHAOJiaguo, LIWeizhe, SHIBowen, LIANGYongjian. CLINICAL OBSERVATION OF STELLATED PLATE FIXATION OF OLECRANAL AVULSION FRACTURE. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 410-413. doi: 10.7507/1002-1892.20140093 Copy

1.	Morrey BF. 骨科标准手术技术丛书——肘. 屠冠军, 译. 沈阳:辽宁科学技术出版社, 2005:193-204.
2.	Viegas SF. Avulsion of the triceps tendon. Orthop Rev, 1990, 19(6):533-536.
3.	Colton CL. Fractures of the olecranon in adults:classification and management. Injury, 1973, 5(2):121-129.
4.	Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res, 1987, (216):109-119.
5.	Chan AP, Lo CK, Lam HY, et al. Unusual traumatic triceps tendon avulsion rupture:a word of caution. Hong Kong Med J, 2009, 15(4):294-296.
6.	Stannard JP, Bucknell AL. Rupture of the triceps tendon associated with steroid injections. Am J Sports Med, 1993, 21(3):482-485.
7.	陈庆泉, 王万明, 张志宏, 等. 撕脱性骨折的可吸收内固定. 福州总医院学报, 2006, 13(1):34-35.
8.	陈志生. 屈肘位固定治疗尺骨鹰嘴骨折力学分析. 中医正骨, 1996, 8(1):9-10.
9.	王亦璁. 骨与关节损伤. 4版. 北京:人民卫生出版社, 2011:866-873.
10.	刘巍, 尹芸生, 苏钟毅. 尺骨鹰嘴骨折合并肘关节脱位的治疗. 中国骨与关节损伤杂志, 2005, 20(4):258-259.
11.	Helm RH, Hornby R, Miller SW. The complications of surgical treatment of displaced fractures of the olecranon. Injury, 1987, 18(1):48-50.
12.	Rajasekhar C, Kakarlapudi TK, Bhamra MS. Avulsion of the triceps tendon. Emerg Med J, 2002, 19(3):271-272.
13.	Pina A, Garcia I, Sabater M. Traumatic avulsion of the triceps brachii. J Orthop Trauma, 2002, 16(4):273-276.
14.	傅国海, 吴旭东. 缝合锚钉治疗尺骨鹰嘴撕脱性骨折15例. 中医正骨, 2011, 23(9):691-692.
15.	俞海明, 姚学东, 林金矿, 等. AO齿状垫圈及螺钉置入固定后交叉韧带胫骨小块或粉碎撕脱骨折11例. 中国组织工程研究与临床康复, 2008, 12(44):8709-8712.
16.	石博文, 葛振新, 王奔, 等. 切开复位星状钢板内固定术治疗青少年髂前上棘撕脱性骨折的疗效观察. 山东医药, 2013, 53(3):84-85.
17.	刘宪民, 刘松波, 张志富, 等. 膝关节后内侧结构损伤早期修复疗效观察. 中国矫形外科杂志, 2009, 17(14):1058-1061.
18.	Burks JB, Comerford JS, Buk A. Additional uses of the DePuy TiMAX Spider Plate. J Am Podiatr Med Assoc, 2003, 93(5):406-407.
19.	Fabbriciani C, Mulas PD, Ziranu F, et al. Mechanical analysis of fixation methods for anterior cruciate ligament reconstruction with hamstring tendon graft, an experimental study in sheep knees. Knee, 2005, 12(2):135-138.

1. Morrey BF. 骨科标准手术技术丛书——肘. 屠冠军, 译. 沈阳:辽宁科学技术出版社, 2005:193-204.
2. Viegas SF. Avulsion of the triceps tendon. Orthop Rev, 1990, 19(6):533-536.
3. Colton CL. Fractures of the olecranon in adults:classification and management. Injury, 1973, 5(2):121-129.
4. Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res, 1987, (216):109-119.
5. Chan AP, Lo CK, Lam HY, et al. Unusual traumatic triceps tendon avulsion rupture:a word of caution. Hong Kong Med J, 2009, 15(4):294-296.
6. Stannard JP, Bucknell AL. Rupture of the triceps tendon associated with steroid injections. Am J Sports Med, 1993, 21(3):482-485.
7. 陈庆泉, 王万明, 张志宏, 等. 撕脱性骨折的可吸收内固定. 福州总医院学报, 2006, 13(1):34-35.
8. 陈志生. 屈肘位固定治疗尺骨鹰嘴骨折力学分析. 中医正骨, 1996, 8(1):9-10.
9. 王亦璁. 骨与关节损伤. 4版. 北京:人民卫生出版社, 2011:866-873.
10. 刘巍, 尹芸生, 苏钟毅. 尺骨鹰嘴骨折合并肘关节脱位的治疗. 中国骨与关节损伤杂志, 2005, 20(4):258-259.
11. Helm RH, Hornby R, Miller SW. The complications of surgical treatment of displaced fractures of the olecranon. Injury, 1987, 18(1):48-50.
12. Rajasekhar C, Kakarlapudi TK, Bhamra MS. Avulsion of the triceps tendon. Emerg Med J, 2002, 19(3):271-272.
13. Pina A, Garcia I, Sabater M. Traumatic avulsion of the triceps brachii. J Orthop Trauma, 2002, 16(4):273-276.
14. 傅国海, 吴旭东. 缝合锚钉治疗尺骨鹰嘴撕脱性骨折15例. 中医正骨, 2011, 23(9):691-692.
15. 俞海明, 姚学东, 林金矿, 等. AO齿状垫圈及螺钉置入固定后交叉韧带胫骨小块或粉碎撕脱骨折11例. 中国组织工程研究与临床康复, 2008, 12(44):8709-8712.
16. 石博文, 葛振新, 王奔, 等. 切开复位星状钢板内固定术治疗青少年髂前上棘撕脱性骨折的疗效观察. 山东医药, 2013, 53(3):84-85.
17. 刘宪民, 刘松波, 张志富, 等. 膝关节后内侧结构损伤早期修复疗效观察. 中国矫形外科杂志, 2009, 17(14):1058-1061.
18. Burks JB, Comerford JS, Buk A. Additional uses of the DePuy TiMAX Spider Plate. J Am Podiatr Med Assoc, 2003, 93(5):406-407.
19. Fabbriciani C, Mulas PD, Ziranu F, et al. Mechanical analysis of fixation methods for anterior cruciate ligament reconstruction with hamstring tendon graft, an experimental study in sheep knees. Knee, 2005, 12(2):135-138.

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CLINICAL OBSERVATION OF STELLATED PLATE FIXATION OF OLECRANAL AVULSION FRACTURE

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