Congruent elbow plate fixation of olecranon fractures

Meredith L. Anderson, A. Noelle Larson, Sheri M. Merten, Scott P. Steinmann

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

OBJECTIVES: We hypothesize that clinical results and patient outcomes following treatment of olecranon fractures with a congruent elbow plating system will be comparable to other available plating systems. Our results will be compared to previously published reports. DESIGN: Retrospective study. SETTING: Level 1 academic referral center. PATIENTS/PARTICIPANTS: The trauma registry was reviewed to identify all olecranon fractures treated with open reduction and internal fixation between January 2001 and December 2004 using the Mayo Congruent Elbow Plate system. Thirty-two patients were identified. Postoperative range of motion was initiated within 2 weeks postoperatively. Mean time to follow-up was 2.2 years (0.7-5.1). All patients had follow-up radiographs. Outcome scores were available on 24 of the 32 patients. INTERVENTION: Medical records and radiographs of all patients were reviewed. MAIN OUTCOME MEASUREMENTS: Objective measures included radiographic healing, postoperative range of motion, and complications. Subjective functional results included Mayo Elbow Performance (MEP) score; Disability of the Arm, Shoulder, and Hand (DASH) score; and patient satisfaction. RESULTS: Of the 32 fractures, 30 went on to union. Three patients had symptomatic hardware that was removed. There was 1 infection and 1 failure of fixation also requiring hardware removal. Average arc of motion was 120 degrees. Subjective follow-up was available in 75% of patients. Mean DASH was 32. Mean MEPS was 89, with 92% good or excellent results. CONCLUSIONS: 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.

Original languageEnglish (US)
Pages (from-to)386-393
Number of pages8
JournalJournal of Orthopaedic Trauma
Volume21
Issue number6
DOIs
StatePublished - Jul 2007

Fingerprint

Olecranon Process
Fracture Fixation
Elbow
Articular Range of Motion
Arm
Hand
Patient Satisfaction
Medical Records
Registries
Referral and Consultation
Retrospective Studies
Wounds and Injuries
Infection

Keywords

  • Fixation
  • Fracture
  • Olecranon
  • Plate

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Anderson, M. L., Larson, A. N., Merten, S. M., & Steinmann, S. P. (2007). Congruent elbow plate fixation of olecranon fractures. Journal of Orthopaedic Trauma, 21(6), 386-393. https://doi.org/10.1097/BOT.0b013e3180ce831e

Congruent elbow plate fixation of olecranon fractures. / Anderson, Meredith L.; Larson, A. Noelle; Merten, Sheri M.; Steinmann, Scott P.

In: Journal of Orthopaedic Trauma, Vol. 21, No. 6, 07.2007, p. 386-393.

Research output: Contribution to journalArticle

Anderson, ML, Larson, AN, Merten, SM & Steinmann, SP 2007, 'Congruent elbow plate fixation of olecranon fractures', Journal of Orthopaedic Trauma, vol. 21, no. 6, pp. 386-393. https://doi.org/10.1097/BOT.0b013e3180ce831e
Anderson, Meredith L. ; Larson, A. Noelle ; Merten, Sheri M. ; Steinmann, Scott P. / Congruent elbow plate fixation of olecranon fractures. In: Journal of Orthopaedic Trauma. 2007 ; Vol. 21, No. 6. pp. 386-393.
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