TY - JOUR
T1 - Comminuted olecranon fractures treated with anatomically preshaped locking and nonlocking plates
T2 - A retrospective comparative study
AU - Lan, Tsung Yu
AU - Chen, Chih Yu
AU - Liao, Po Feng
AU - Chen, Wen Chih
AU - Wu, Karl
AU - Pao, Jwo Luen
AU - Chang, Chih Hung
PY - 2013/2
Y1 - 2013/2
N2 - Purpose: The purpose of this study was to investigate the clinical outcome of patients with comminuted olecranon fractures treated with anatomically preshaped locking and nonlocking plates. Methods: From 2006 to 2010, 30 patients with comminuted olecranon fractures were treated with anatomically preshaped locking or nonlocking plates. Patients with a minimum follow-up of 12 months after surgery were evaluated for this analysis. Validated patient-oriented assessment scores including the Mayo Elbow Performance Index (MEPI), range of motion (ROM), and patient satisfaction were evaluated. All patients had follow-up radiographs. Results: Ten patients treated with nonlocking plates (Group A) and 13 treated with locking plates (Group B) were included in this analysis. The average patient age was 36.5 years in Group A and 43.4 years in Group B. The mean MEPI (95 vs. 94), flexion/extension arc (124° vs. 120°), and time to union (3.1 months vs. 2.9 months) were not significantly different between Groups A and B, respectively. No infection occurred in either group. There were three complications in Group A, including one screw pullout, one case of elbow stiffness, and one case of residual valgus deformity. There were three patients in each group who received implant removal 11.3 months and 13 months, respectively, after surgery. Conclusion: Both preshaped locking and nonlocking olecranon plates can achieve good results in the treatment of comminuted olecranon fractures.
AB - Purpose: The purpose of this study was to investigate the clinical outcome of patients with comminuted olecranon fractures treated with anatomically preshaped locking and nonlocking plates. Methods: From 2006 to 2010, 30 patients with comminuted olecranon fractures were treated with anatomically preshaped locking or nonlocking plates. Patients with a minimum follow-up of 12 months after surgery were evaluated for this analysis. Validated patient-oriented assessment scores including the Mayo Elbow Performance Index (MEPI), range of motion (ROM), and patient satisfaction were evaluated. All patients had follow-up radiographs. Results: Ten patients treated with nonlocking plates (Group A) and 13 treated with locking plates (Group B) were included in this analysis. The average patient age was 36.5 years in Group A and 43.4 years in Group B. The mean MEPI (95 vs. 94), flexion/extension arc (124° vs. 120°), and time to union (3.1 months vs. 2.9 months) were not significantly different between Groups A and B, respectively. No infection occurred in either group. There were three complications in Group A, including one screw pullout, one case of elbow stiffness, and one case of residual valgus deformity. There were three patients in each group who received implant removal 11.3 months and 13 months, respectively, after surgery. Conclusion: Both preshaped locking and nonlocking olecranon plates can achieve good results in the treatment of comminuted olecranon fractures.
KW - Locking plate
KW - Olecranon fracture
KW - Proximal ulna fracture
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U2 - 10.1016/j.fjmd.2013.01.001
DO - 10.1016/j.fjmd.2013.01.001
M3 - Article
AN - SCOPUS:84875381494
SN - 2210-7940
VL - 4
SP - 1
EP - 5
JO - Formosan Journal of Musculoskeletal Disorders
JF - Formosan Journal of Musculoskeletal Disorders
IS - 1
ER -