EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YINQudong ¹ , GUSanjun ¹ , LIUJun ¹ ,  WUYongwei ¹ , LUYao ¹ , MAYunhong ¹ , SHENGYouyin ²

1. Department of Orthopaedics, Wuxi No.9 People's Hospital, Wuxi Jiangsu, 214062, P. R. China;
2. Department of Orthopaedics, Wuxi Rende Hospital;

Corresponding author：

WUYongwei, Email: 13179680065@163.com

Keywords：

Olecranon fracture; Sharp teeth hook plate; Internal fixation

DOI：

10.7507/1002-1892.20160223

Video：

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Objective To investigate the effectiveness of sharp teeth hook plate by cutting for the treatment of olecranon fractures by comparison with Kirschner wire tension belt and locking plate. Methods Between January 2011 and April 2015, 32 cases of olecranon fractures were treated. Fracture was fixed with sharp teeth hook plate by cutting in 12 cases (trial group) and with Kirschner wire tension belt or locking plate in 20 cases (control group). There was no significant difference in gender, age, side and type of fracture, and time from injury to operation between 2 groups (P > 0.05). The healing time of fractures and complications were recorded. At 1 year after operation, the subjective function results were evaluated according to Disability of Arm, Shoulder, and Hand (DASH) score, and objective function results by Mayo Elbow Score (MEPS); visual analogue scale (VAS) was used for elbow joint pain, and range of motion of flexion and extension of elbow joint was measured. Results All incisions healed by first intention, with no vascular and nerve injuries. All patients were followed up 12-36 months with an average of 18 months. All fractures healed, and there was no significant difference in the healing time between 2 groups (P > 0.05). Loosening of Kirschner wire occurred in 2 cases of control group, but no loosening of internal fixation was observed in trial group after operation. There was no significant difference in the incidence of complications between 2 groups (P > 0.05). The DASH, MEPS, VAS score, and range of motion of flexion in trial group were superior to those in control group, showing significant differences (P < 0.05) at 1 year after operation. There was no significant difference in range of motion of extension between 2 groups (P > 0.05). Conclusion Sharp teeth hook plate for treatment of olecranon fractures overcomes the shortcomings that Kirschner wire tension is easy to slide and locking plate has a compression effect on triceps tendon, so it has good effectiveness.

Citation： YINQudong, GUSanjun, LIUJun, WUYongwei, LUYao, MAYunhong, SHENGYouyin. EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(9): 1094-1097. doi: 10.7507/1002-1892.20160223 Copy

1.	宫先斌, 舒衡生, 王宏川, 等.星状钢板治疗尺骨鹰嘴撕脱骨折疗效观察.中国修复重建外科杂志, 2014, 28(4):410-413.
2.	林宏衡, 蔡桦, 梁祖建.克氏针张力带复位技术联合锁定钢板固定治疗尺骨鹰嘴MayoⅡA型骨折.中国骨科临床与基础研究杂志, 2015, 7(5):281-284.
3.	岳勇, 赵东风, 刘欣伟, 等.可吸收张力带与钢丝张力带固定治疗尺骨鹰嘴骨折疗效的比较.中国骨与关节损伤杂志, 2015, 30(9):987-989.
4.	陈群, 骆顺.克氏针张力带及解剖钢板治疗尺骨鹰嘴骨折效果观察.健康导报(医学版), 2015, 20(9):26-27.
5.	王怀云, 郭虹, 徐建平, 等.预断式带孔克氏针张力带治疗Mayo Ⅱ型尺骨鹰嘴骨折.临床军医杂志, 2016, 44(2):196-197.
6.	杜育海, 王晓宁.带线锚钉联合克氏针内固定治疗尺骨鹰嘴粉碎性骨折的效果观察.中国当代医药, 2016, 23(4):79-81.
7.	李春江.改良张力带技术治疗尺骨鹰嘴骨折.中国修复重建外科杂志, 2016, 30(3):392-393.
8.	滕林, 钟刚, 肖聪, 等.重建钢板联合张力带治疗尺骨上段合并鹰嘴骨折.中国修复重建外科杂志, 2011, 25(1):17-20.
9.	霍建军, 康雄, 赵岩, 等.可吸收线缝扎结合解剖钢板内固定治疗尺骨鹰嘴近中段粉碎性骨折.中国修复重建外科杂志, 2012, 26(10):1275-1277.
10.	马恒, 王贵松, 毛贤智, 等.应用解剖板治疗尺骨鹰嘴ColtonⅡC、ⅡD型骨折.包头医学院学报, 2016, 32(3):50-51.
11.	齐岩, 田军, 姚宇, 等.解剖型锁定加压接骨板修复尺骨鹰嘴骨折:肘关节功能6个月随访评价.中国组织工程研究, 2015, 19(4):573-577.
12.	米博斌, 刘国辉, 杨述华, 等.尺骨鹰嘴解剖型钢板治疗粉碎性尺骨鹰嘴骨折.临床骨科杂志, 2012, 15(6):654-655.
13.	张桂友, 林宇雨, 杨戈, 等.鹰嘴解剖形接骨板与张力带治疗尺骨鹰嘴骨折的对比研究.中国医学创新, 2015, 12(2):13-15.
14.	卢小斌, 鲍涛, 李杨.解剖钢板内固定治疗尺骨鹰嘴骨折.临床骨科杂志, 2012, 15(5):597.
15.	张世明, 李海丰, 黄轶刚.骨折分类与功能评定.北京:人民军医出版社, 2008:297-318.
16.	陈捷.解剖型锁定钢板治疗尺骨鹰嘴粉碎性骨折的临床分析.创伤外科杂志, 2014, 16(2):134-136.
17.	蒋勇, 焦宁, 马建兵, 等.尺骨鹰嘴粉碎性骨折的治疗策略.美中国际创伤杂志, 2012, 11(5):51-52.
18.	葛建华, 张德绸, 张忠杰.尺骨鹰嘴粉碎性骨折的治疗进展.西南军医, 2012, 14(6):861-863.
19.	Oleg Y, Philipp L. Refixation of tibial bony avulsions of the posterior cruciate ligament with a hook plate. Oper Orthop Traumatol, 2010, 22(4):347-353.
20.	邹祝艺, 徐剑锋, 李金生, 等.鹰嘴钩钢板在治疗尺骨鹰嘴骨折中的可行性研究.中国医药科学, 2016, 6(4):160-162.

1. 宫先斌, 舒衡生, 王宏川, 等.星状钢板治疗尺骨鹰嘴撕脱骨折疗效观察.中国修复重建外科杂志, 2014, 28(4):410-413.
2. 林宏衡, 蔡桦, 梁祖建.克氏针张力带复位技术联合锁定钢板固定治疗尺骨鹰嘴MayoⅡA型骨折.中国骨科临床与基础研究杂志, 2015, 7(5):281-284.
3. 岳勇, 赵东风, 刘欣伟, 等.可吸收张力带与钢丝张力带固定治疗尺骨鹰嘴骨折疗效的比较.中国骨与关节损伤杂志, 2015, 30(9):987-989.
4. 陈群, 骆顺.克氏针张力带及解剖钢板治疗尺骨鹰嘴骨折效果观察.健康导报(医学版), 2015, 20(9):26-27.
5. 王怀云, 郭虹, 徐建平, 等.预断式带孔克氏针张力带治疗Mayo Ⅱ型尺骨鹰嘴骨折.临床军医杂志, 2016, 44(2):196-197.
6. 杜育海, 王晓宁.带线锚钉联合克氏针内固定治疗尺骨鹰嘴粉碎性骨折的效果观察.中国当代医药, 2016, 23(4):79-81.
7. 李春江.改良张力带技术治疗尺骨鹰嘴骨折.中国修复重建外科杂志, 2016, 30(3):392-393.
8. 滕林, 钟刚, 肖聪, 等.重建钢板联合张力带治疗尺骨上段合并鹰嘴骨折.中国修复重建外科杂志, 2011, 25(1):17-20.
9. 霍建军, 康雄, 赵岩, 等.可吸收线缝扎结合解剖钢板内固定治疗尺骨鹰嘴近中段粉碎性骨折.中国修复重建外科杂志, 2012, 26(10):1275-1277.
10. 马恒, 王贵松, 毛贤智, 等.应用解剖板治疗尺骨鹰嘴ColtonⅡC、ⅡD型骨折.包头医学院学报, 2016, 32(3):50-51.
11. 齐岩, 田军, 姚宇, 等.解剖型锁定加压接骨板修复尺骨鹰嘴骨折:肘关节功能6个月随访评价.中国组织工程研究, 2015, 19(4):573-577.
12. 米博斌, 刘国辉, 杨述华, 等.尺骨鹰嘴解剖型钢板治疗粉碎性尺骨鹰嘴骨折.临床骨科杂志, 2012, 15(6):654-655.
13. 张桂友, 林宇雨, 杨戈, 等.鹰嘴解剖形接骨板与张力带治疗尺骨鹰嘴骨折的对比研究.中国医学创新, 2015, 12(2):13-15.
14. 卢小斌, 鲍涛, 李杨.解剖钢板内固定治疗尺骨鹰嘴骨折.临床骨科杂志, 2012, 15(5):597.
15. 张世明, 李海丰, 黄轶刚.骨折分类与功能评定.北京:人民军医出版社, 2008:297-318.
16. 陈捷.解剖型锁定钢板治疗尺骨鹰嘴粉碎性骨折的临床分析.创伤外科杂志, 2014, 16(2):134-136.
17. 蒋勇, 焦宁, 马建兵, 等.尺骨鹰嘴粉碎性骨折的治疗策略.美中国际创伤杂志, 2012, 11(5):51-52.
18. 葛建华, 张德绸, 张忠杰.尺骨鹰嘴粉碎性骨折的治疗进展.西南军医, 2012, 14(6):861-863.
19. Oleg Y, Philipp L. Refixation of tibial bony avulsions of the posterior cruciate ligament with a hook plate. Oper Orthop Traumatol, 2010, 22(4):347-353.
20. 邹祝艺, 徐剑锋, 李金生, 等.鹰嘴钩钢板在治疗尺骨鹰嘴骨折中的可行性研究.中国医药科学, 2016, 6(4):160-162.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES

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