EFFECTIVENESS OF POSTEROMEDIAL DOUBLE PLATES IN TREATMENT OF COMPLEX OLECRANAL FRACTURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YANGRuyi ^1,2 , ZHOUYu ² ,  LIULifeng ² , CAIJinfang ² , CAOXuecheng ²

1. Postgraduate Training Base of General Hospital of Jinan Military Command, Jinzhou Medical University, Jinan Shandong, 250031, P. R. China;
2. Department of Orthopedic and Traumatic Surgery, General Hospital of Jinan Military Command;

Corresponding author：

LIULifeng, Email: llf919@sina.com

Keywords：

Olecranal fracture; Complex fractures; Anatomic plate; Mini-plate; Internal fixation

DOI：

10.7507/1002-1892.20160303

Video：

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Objective To evaluate the effectiveness of posteromedial double plates in the treatment of complex olecranal fracture. Methods Between September 2011 and July 2015, 13 patients with complex olecranal fractures were treated with posterior olecranon locking compression plate and medial mini-plate. There were 8 males and 5 females with an average age of 41.6 years (range, 22-68 years). Injury was caused by traffic accident in 4 cases, falling from height in 6 cases, and crush by object in 3 cases. According to the Mayo classification, fracture was rated as Mayo type ⅡB in 5 cases and as Mayo type ⅢB in 8 cases. Of 13 cases, 7 had Regan-Morrey type Ⅲ coronoid fractures, including 5 anterior dislocations of the elbow joint and 2 posterior dislocations. The time between injury and admission ranged from 1.5 to 10.0 hours (mean, 5.7 hours). At last follow-up, the elbow function was assessed according to the Broberg-Morrey evaluation criteria. X-ray films was performed to observe fracture healing. Results All incisions healed at first stage and no neural complications occurred. The patients were followed up 9-38 months (mean, 22.1 months). All patients achieved bone union at 3.0-5.5 months (mean, 3.7 months) according to X-ray results. Subluxation of radial head and mild heterotopic ossification occurred in 1 patient respectively, who had no uncomfortable symptoms of movement disorder, elbow instability and pain, and no special management was performed. At last follow-up, the flexion and extension range of motion (ROM) of the elbow was 95-130° (mean, 116.4°); the rotation ROM of the forearm was 150-175° (mean, 170.8°); and the elbow function was excellent in 4 cases, good in 7 cases, and fair in 2 cases, and the excellent and good rate was 84.6%. No internal fixation failure, elbow stiffness, or traumatic arthritis occurred. Conclusion For complex olecranal fractures, an early and stable anatomic reconstruction of trochlear notch in the olecranon with posterior olecranon locking compression plate and medial mini-plate can obtain good effectiveness in joint functions.

Citation： YANGRuyi, ZHOUYu, LIULifeng, CAIJinfang, CAOXuecheng. EFFECTIVENESS OF POSTEROMEDIAL DOUBLE PLATES IN TREATMENT OF COMPLEX OLECRANAL FRACTURE. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(12): 1462-1466. doi: 10.7507/1002-1892.20160303 Copy

1.	Pereira BP. Revision the anatomy biomechanics of the anconeus mulscle its role in elbow stability. Ann Anat, 2013, 195(4):365-370.
2.	Schaeffeler C, Waldt S, Woertler K. Traumatic instability of the elbow-anatomy, pathomechanisms and presentation on imaging. Eur Radiol, 2013, 23(9):2582-2593.
3.	Dodds SD, Fisher T. Terriblr triad of the elbow. Orthop Clin North Am, 2013, 44(1):47-58.
4.	Molony DC, Kennedy J, Gheiti A, et al. Free-hand versus novel specialised jig guidance for the passing of intramedullary wires in olecranon fracture fixation:a comparative study. Injury, 2011, 42(4):343-346.
5.	Han SH, Yoon HK, Rhee SY, et al. Anterior approach for fixation of isolated type Ⅲ coronoid process fracture. Eur J Orthop Surg Traumatol, 2013, 23(4):395-405.
6.	匡新建, 蔡航, 鲍丰, 等.微型钢板治疗尺骨冠状突骨折.中国修复重建外科杂志, 2010, 24(9):1097-1099.
7.	Siebenlis S, Schmidt-Horlohé K, Hoffmann R, et al. Proximal ulna fractures]. Zeitschrift fuer Orthopaedie und Unfallchirurgie, 2011, 149(3):e1-e19.
8.	Broberg MA, Morrey BF. Results of delayed excision of the radial head after fracture. J Bone Joint Surg (Am), 1986, 68(5):669-674.
9.	Marti RK, Verheyen CC. The catapult technique for arthrodesis and nonunion treatment in the hind-and midfoot. Foot Ankle Int, 2010, 31(3):258-259.
10.	Nowak TE, Burkhart KJ, Andres SO, et al. Locking-plate osteosynthesis versus intramedullary nailing for fixation of olecranon fractures:a biomechanical study. Int Orthop, 2013, 37(5):899-903.
11.	Doornberg J, Ring D, Jupiter JB. Effective treatment of fracture-dislocations of the olecranon requires a stable trochlear notch. Clin Orthop Relat Res, 2004, (429):292-300.
12.	胡晓川, 向明, 陈杭, 等.前向鹰嘴骨折脱位的手术治疗.中国修复重建外科杂志, 2012, 26(12):1462-1465.
13.	Baecher N, Edwards S. Olecranon fractures. J Hand Surg (Am), 2013, 38(3):593-604.
14.	Tarallo L, Mugnai R, Adani R, et al. Simple and comminuted displaced olecranon fractures:a clinical comparison between tension band wiring and plate fixation techniques. Arch Orthop Trauma Surg, 2014, 134(8):1107-1114.
15.	Sayegh ET, Strauch RJ. Treatment of olecranon bursitis:a systematic review. Arch Orthop Trauma Surg, 2014, 134(11):1517-1536.
16.	Erturer RE, Sever C, Sonmez MM, et al. Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon. J Shoulder and Elbow Surg, 2011, 20(3):449-454.
17.	Wang YH, Ran T, Xu H, et al. Mid-term outcomes of contoured plating for comminuted fractures of the olecranon. Orthop Surg, 2011, 3(3):176-180.
18.	Buijze G, Kloen P. Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg (Am), 2009, 91(10):2416-2420.

1. Pereira BP. Revision the anatomy biomechanics of the anconeus mulscle its role in elbow stability. Ann Anat, 2013, 195(4):365-370.
2. Schaeffeler C, Waldt S, Woertler K. Traumatic instability of the elbow-anatomy, pathomechanisms and presentation on imaging. Eur Radiol, 2013, 23(9):2582-2593.
3. Dodds SD, Fisher T. Terriblr triad of the elbow. Orthop Clin North Am, 2013, 44(1):47-58.
4. Molony DC, Kennedy J, Gheiti A, et al. Free-hand versus novel specialised jig guidance for the passing of intramedullary wires in olecranon fracture fixation:a comparative study. Injury, 2011, 42(4):343-346.
5. Han SH, Yoon HK, Rhee SY, et al. Anterior approach for fixation of isolated type Ⅲ coronoid process fracture. Eur J Orthop Surg Traumatol, 2013, 23(4):395-405.
6. 匡新建, 蔡航, 鲍丰, 等.微型钢板治疗尺骨冠状突骨折.中国修复重建外科杂志, 2010, 24(9):1097-1099.
7. Siebenlis S, Schmidt-Horlohé K, Hoffmann R, et al. Proximal ulna fractures]. Zeitschrift fuer Orthopaedie und Unfallchirurgie, 2011, 149(3):e1-e19.
8. Broberg MA, Morrey BF. Results of delayed excision of the radial head after fracture. J Bone Joint Surg (Am), 1986, 68(5):669-674.
9. Marti RK, Verheyen CC. The catapult technique for arthrodesis and nonunion treatment in the hind-and midfoot. Foot Ankle Int, 2010, 31(3):258-259.
10. Nowak TE, Burkhart KJ, Andres SO, et al. Locking-plate osteosynthesis versus intramedullary nailing for fixation of olecranon fractures:a biomechanical study. Int Orthop, 2013, 37(5):899-903.
11. Doornberg J, Ring D, Jupiter JB. Effective treatment of fracture-dislocations of the olecranon requires a stable trochlear notch. Clin Orthop Relat Res, 2004, (429):292-300.
12. 胡晓川, 向明, 陈杭, 等.前向鹰嘴骨折脱位的手术治疗.中国修复重建外科杂志, 2012, 26(12):1462-1465.
13. Baecher N, Edwards S. Olecranon fractures. J Hand Surg (Am), 2013, 38(3):593-604.
14. Tarallo L, Mugnai R, Adani R, et al. Simple and comminuted displaced olecranon fractures:a clinical comparison between tension band wiring and plate fixation techniques. Arch Orthop Trauma Surg, 2014, 134(8):1107-1114.
15. Sayegh ET, Strauch RJ. Treatment of olecranon bursitis:a systematic review. Arch Orthop Trauma Surg, 2014, 134(11):1517-1536.
16. Erturer RE, Sever C, Sonmez MM, et al. Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon. J Shoulder and Elbow Surg, 2011, 20(3):449-454.
17. Wang YH, Ran T, Xu H, et al. Mid-term outcomes of contoured plating for comminuted fractures of the olecranon. Orthop Surg, 2011, 3(3):176-180.
18. Buijze G, Kloen P. Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg (Am), 2009, 91(10):2416-2420.

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Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF POSTEROMEDIAL DOUBLE PLATES IN TREATMENT OF COMPLEX OLECRANAL FRACTURE

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