Geriatric olecranon fractures treated with plate fixation have low complication rates

2019 ◽  
Vol 30 (4) ◽  
pp. 353-355 ◽  
Author(s):  
Sean T. Campbell ◽  
Malcolm R. DeBaun ◽  
L. Henry Goodnough ◽  
Julius A. Bishop ◽  
Michael J. Gardner
Keyword(s):  
Plate Fixation ◽  
Complication Rates ◽  
Olecranon Fractures

scholarly journals The Evolution of Olecranon Fractures and Its Fixation Strategies

2021 ◽  
Author(s):  
Bryan Tan ◽  
Jingwen Ng ◽  
Wei Xiang Ng ◽  
Wei Yuan ◽  
Ernest Beng Kee Kwek
Keyword(s):  
Plate Fixation ◽  
Fracture Prevention ◽  
Fixation Method ◽  
P Value ◽  
Single Fracture ◽  
Complication Rates ◽  
Secondary Fracture ◽  
Fixation Techniques ◽  
High Index Of Suspicion ◽  
Olecranon Fractures

Abstract Introduction. Olecranon fractures are a common fracture of the upper extremity. The primary aim was to investigate the evolution of olecranon fractures and fixation method over a period of 12 years. The secondary aim was to compare complication rates of Tension Band Wiring (TBW) and Plate Fixation (PF). Materials and Methods Retrospective Study for all patients with surgically treated olecranon fractures from 1 January 2005 to 31 December 2016 from a tertiary trauma center. Records review for demographic, injury characteristics, radiographic classification and configuration, implant choices and complications. Results grouped into three 4-year intervals, analyzed comparatively to establish significant trends over 12 years. Results 262 patients were identified. Demographically, increasing mean age (48.7 to 58.9 years old, p-value 0.004) and higher ASA scores (7.1% ASA 3 to 21.0% ASA 3 p-value 0.001). Later fractures were more oblique (fracture angle 86.1 to 100.0 degrees, p-value 0.001) and comminuted (Schatzker D type 10.4–30.0%, p-value 0.025, single fracture line 94.0–66.0%, p-value 0.001). Implant choice, sharp increase in PF compared to TBW (PF 16.0% to PF 80.2%, p-value 0.001). Complication-wise, TBW had higher rates of symptomatic implant, implant and bony failures and implant removal. Conclusion Demographic and fracture characteristic trends suggest that olecranon fractures are exhibiting fragility fracture characteristics (older age, higher ASA scores, more unstable, oblique and comminuted olecranon fractures). Having a high index of suspicion would alert surgeons to consider use of advanced imaging, utilize appropriate fixation techniques and manage the underlying osteoporosis for secondary fracture prevention. Despite this, trends suggest a potential overutilization of PF particularly for stable fracture patterns and the necessary precaution should be exercised.

145 Outcomes of Unstable Distal Radius Fractures – A Meta-Analysis of Bridging External Fixation Versus Volar Plating

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Mulrain ◽  
K Joshi ◽  
F Doyle ◽  
A Abdulkarim
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Plate Fixation ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Volar Plating ◽  
Radius Fractures ◽  
Increased Risk

Abstract Introduction Distal radius fractures are common and trends for fixation have changed with increased use of volar locking plates in recent time. A meta-analysis will summarise the best evidence for treatment. Method A systematic review was conducted using PRISMA methodology to identify studies that reported clinical and/or radiological outcomes in patients with AO type C distal radius fractures when treated with external fixation versus ORIF. Results 10 randomised trials were included in this review, reporting on 967 patients. Clinical outcomes are in favour of volar plating at 3 months post-operation, but no difference between the two groups is seen at 6 or 12 months. Analysis of complication rates shows a minute increase in risk-ratio for volar plating versus external fixation. Subgroup analysis showed significantly higher re-operations after plate fixation and significantly higher infection after external fixation. Conclusions Internal fixation of complex distal radius fractures confers an improved clinical outcome at early follow up only and a minimally increased risk of complications. The improved grip strength with volar plating is only superior at early follow up and no long-term superiority is seen with either intervention. The type of surgery in this injury type therefore remains at the surgeon’s consideration on a case-by-case basis.

Outcome of Plate Fixation of Olecranon Fractures

2001 ◽  
Vol 15 (8) ◽  
pp. 542-548 ◽  
Author(s):  
Christopher S. Bailey ◽  
Joy MacDermid ◽  
Stuart D. Patterson ◽  
Graham J. W. King
Keyword(s):  
Plate Fixation ◽  
Olecranon Fractures

scholarly journals Best technique for fixation of displaced transverse olecranon fractures: tension band wiring or plate fixation?

2020 ◽  
Vol 6 (5) ◽  
pp. 1012
Author(s):  
Lokesh Kumar Yogi ◽  
Gagandeep Mahi ◽  
C. R. Thorat ◽  
Moti Janardhan Naik
Keyword(s):  
Functional Outcome ◽  
Large Scale ◽  
Plate Fixation ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Clinical Event ◽  
Dash Score ◽  
Group A ◽  
Group B ◽  
Olecranon Fractures

<p><strong>Background:</strong> Fractures of olecranon are common fractures in upper limb. Tension band wiring (TBW) and plate fixation (PF) are mostly used techniques but choice is based on type of fracture and surgeon’s preference.</p><p><strong>Methods:</strong>  A study assessed functional results in 28 patients that were enrolled after the clinical event of trauma has occurred. Patients were divided into two groups- Group (A) for TBW and Group (B) for PF; here gender, age and side of fracture were ignored. Post-operative functional outcome were evaluated by using the Mayo Elbow Performance (MEP) and the Disabilities of the Arm, Shoulder and Hand (DASH) score parameters.</p><p><strong>Results:<em> </em></strong>Mean (SD) union time as determined by postoperative radiographs was 8.5 (1.48) weeks for group (A) and 9 (2.08) weeks for group (B). Mean (SD) MEP score at 9 months in group (A) 84.28 (7.28) and 80.71 (10.92) in group (B). Mean (SD) DASH at 9 months in group (A) 12.2 (8.8) and 11.7 (10.4) in group (B). Complications were reported in group (A) 6 patient (42.85%) out of 14 patients and in group (B) 1 patient (7.14%) out of 14 patients.</p><p><strong>Conclusions:<em> </em></strong>The current study shows that there are no significant differences in functional outcome between both the study groups. Due to lesser complications, we recommend the plate fixation approach as the better choice for transverse displaced olecranon fractures. More large scale studies are required to further confirm our results.</p>

scholarly journals Open Treatment of Olecranon Fractures with Plate Fixation

2018 ◽  
Vol 8 (1) ◽  
pp. e1 ◽  
Author(s):  
Julie E. Adams ◽  
S. Andrew Sems ◽  
Scott P. Steinmann
Keyword(s):  
Plate Fixation ◽  
Open Treatment ◽  
Olecranon Fractures

scholarly journals Intramedullary screw fixation for simple displaced olecranon fractures

2019 ◽  
Vol 46 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Willem-Maarten P. F. Bosman ◽  
Benjamin L. Emmink ◽  
Abhiram R. Bhashyam ◽  
R. Marijn Houwert ◽  
Jort Keizer
Keyword(s):  
Soft Tissue ◽  
Plate Fixation ◽  
Cannulated Screw ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Hardware Removal ◽  
Dash Score ◽  
Intramedullary Screw ◽  
Olecranon Fractures

Abstract Purpose Olecranon fractures are common and typically require surgical fixation due to displacement generated by the pull of the triceps muscle. The most common techniques for repairing olecranon fractures are tension-band wiring or plate fixation, but these methods are associated with high rates of implant-related soft-tissue irritation. Another treatment option is fixation with an intramedullary screw, but less is known about surgical results using this strategy. Thus, the purpose of this study was to report the clinical and functional outcomes of olecranon fractures treated with an intramedullary cannulated screw. Methods We identified 15 patients (average age at index procedure 44 years, range 16–83) with a Mayo type I or IIA olecranon fracture who were treated with an intramedullary cannulated screw at a single level 2 trauma center between 2012 and 2017. The medical record was reviewed to assess radiographic union, postoperative range of motion and complications (including hardware removal). Patient-reported outcome was evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score. Average follow-up was 22 months (range 8–36 months). Results By the 6th month post-operative visit, 14 patients had complete union of their fracture and 1 patient had an asymptomatic non-union that did not require further intervention. Average flexion was 145° (range 135–160) and the average extension lag was 11° (range 0–30). Implants were removed in 5 patients due to soft-tissue irritation. Average DASH score (± standard deviation) by final follow-up was 16 ± 10. Conclusions Fixation of simple olecranon fractures with an intramedullary screw is a safe and easy fixation method in young patients, leading to good functional and radiological results. Compared to available data, less hardware removal is necessary than with tension-band wiring or plate fixation.

scholarly journals Bridge Plate Fixation Results in Better Functional Outcomes Than Transarticular Screw Fixation for Low-Energy Lisfranc Injuries

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Joseph Bellamy ◽  
Grant Cochran
Keyword(s):  
Plate Fixation ◽  
Low Energy ◽  
Categorical Variables ◽  
Complication Rates ◽  
Transarticular Screw ◽  
Plate Group ◽  
Bridge Plate ◽  
Lisfranc Injuries ◽  
Bridge Plating ◽  
Screw Group

Category: Midfoot/Forefoot, Sports, Trauma Introduction/Purpose: Open reduction and internal fixation (ORIF) with transarticular screws or bridge plating is the standard of care for unstable Lisfranc injuries. There are no studies comparing the clinical outcomes of fixation with transarticular screws or bridge plates in young, athletic patients who sustained low-energy injuries. Methods: All low-energy Lisfranc injuries that underwent ORIF between 2010 and 2015 were reviewed. Injuries were classified as low-energy if the occurred during athletic activity, ground level twisting, or a fall from less than three feet (typically stairs or curbs). Tarsometatarsal (TMT) joint fixation with transarticular screws or bridge plating was documented. Transarticular screws were typically removed between four and six months postoperatively. Injury characteristics, complication rates, pain scores, and Foot and Ankle Ability Measure (FAAM) scores were compared. All continuous variables were compared with a two-tailed Student t-test. All categorical variables were compared using the Chi Squared test. Results: Of the fifteen patients identified, nine were fixed with transarticular screws and six with bridge plates. Average patient age was 27 years old. 12 of 15 were primarily ligamentous injuries. Implant removal was performed in the entire transarticular screw group and three out of six in the bridge plate group (p=0.018). Secondary arthrodesis for arthritis was recommended in two of the transarticular screw group and none of the bridge plate group (p=0.21). Mean FAAM scores were significantly higher in all subscales (ADL 96.2 v 76.7 p=.035, ADL SANE 92.5 v 72.6 p=.055, Sport 89.5 v 62.5 p=.027, Sport SANE 90 v 58.7 p=.024) in the bridge plate group at an average of 43 months follow up. Conclusion: In this study, ORIF with bridge plate fixation of the TMT joints had a lower rate of HWR and higher medium term FAAM scores than fixation with transarticular screws. A statistically significant difference in rates of secondary arthritis could not be established in this small cohort. Prospective studies are necessary to confirm these findings.

Results of plate fixation of type 5 olecranon fractures in 20 horses

2010 ◽  
Vol 38 (1) ◽  
pp. 30-34 ◽  
Author(s):  
T. M. SWOR ◽  
J. P. WATKINS ◽  
A. BAHR ◽  
K. L. EPSTEIN ◽  
C. M. HONNAS
Keyword(s):  
Plate Fixation ◽  
Olecranon Fractures

Comminuted olecranon fractures: biomechanical testing of locked versus minifragment non-locked plate fixation

2017 ◽  
Vol 137 (9) ◽  
pp. 1173-1179 ◽  
Author(s):  
David S. Wellman ◽  
Scott M. Tucker ◽  
Josh R. Baxter ◽  
Nadine C. Pardee ◽  
Lionel E. Lazaro ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Biomechanical Testing ◽  
Locked Plate ◽  
Olecranon Fractures

scholarly journals Complications of Rigid Internal Fixation

2009 ◽  
Vol 2 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Chris A. Campbell ◽  
Kant Y. Lin
Keyword(s):  
Internal Fixation ◽  
Pediatric Population ◽  
Plate Fixation ◽  
Growth Restriction ◽  
Complication Rates ◽  
Inflammatory Reactions ◽  
Craniomaxillofacial Surgery ◽  
Risk Of Exposure ◽  
Muscles Of Mastication ◽  
Anatomic Alignment

Over the past 20 years, there have been many advances in the development of bone fixation systems used in the practice of craniomaxillofacial surgery. As surgical practices have evolved, the complications of each technologic advance have changed accordingly. Interfragmentary instability of interosseous wiring has been replaced by the risk of exposure, infection, and palpability of plate and screw fixation systems. The improved rigidity of plate fixation requires anatomic alignment of fracture fragments. Failure to obtain proper alignment has led to the phenomenon known as “open internal fixation” of fracture fragments without proper reduction. The size of the plates has decreased to minimize palpability and exposure. However limitations in their application have been encountered due to the physiologic forces of the muscles of mastication and bone healing. In the pediatric population, the long-standing presence of plates in the cranial vault resulted in reports of transcranial migration and growth restriction. These findings led to the development of resorbable plating systems, which are associated with self-limited plate palpability and soft tissue inflammatory reactions. Any rigid system including these produces growth restriction in varying amounts. In this discussion, we review the reported complication rates of miniplating and microplating systems as well as absorptive plating systems in elective and traumatic craniofacial surgery.

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