Long-Term Outcome of Operatively Treated Fracture-Dislocations of the Olecranon
Adult
Aged, 80 and over
Male
Time Factors
Adolescent
Joint Dislocations
Recovery of Function
Middle Aged
Ulna Fractures
3. Good health
Radiography
Fracture Fixation, Internal
03 medical and health sciences
Treatment Outcome
0302 clinical medicine
Elbow Joint
Humans
Female
Range of Motion, Articular
Aged
Follow-Up Studies
Retrospective Studies
DOI:
10.1097/bot.0b013e31817283f7
Publication Date:
2008-04-30T07:03:05Z
AUTHORS (5)
ABSTRACT
To report the long-term results of operative treatment of anterior and posterior olecranon fracture-dislocations and compare them with the results recorded fewer than 2 years after surgery.Retrospective case series with long-term evaluation.Level I trauma center.Ten patients with anterior olecranon fracture-dislocation and ten patients with posterior olecranon fracture-dislocation were evaluated after an average of 18 years (range, 11 to 28 years) after injury. Fifteen patients had an early follow-up available at an average 14 months (range, 6 to 24 months) after surgery. The average age at injury was 30 years (range, 14 to 53 years).Treatment included plate and screw fixation (11 patients), tension band wiring (8 patients), and radiocapitellar transfixation (1 patient). Six patients had additional elbow surgery before the final evaluation.Flexion arc, arthrosis, Mayo Elbow Performance Index (MEPI), Disability of Arm Shoulder and Hand questionnaire (DASH).The mean arc of elbow flexion was 105 degrees (range, 15 to 140 degrees) at 1 year and 122 degrees (range 10 to 145 degrees; P = 0.01) at final evaluation. Radiographic arthrosis was observed in 14 patients (70%): severe in 3, moderate in 2, and mild in 9 patients. Five patients (25%) had ulnar nerve dysfunction at the final evaluation. The MEPI was excellent in 13 patients, good in 4, fair in 2, and poor in 1. The mean DASH score was 9 points (range, 0 to 53 points).The initial results of operative treatment of fracture-dislocations of the olecranon are durable over time.
SUPPLEMENTAL MATERIAL
Coming soon ....
REFERENCES (21)
CITATIONS (67)
EXTERNAL LINKS
PlumX Metrics
RECOMMENDATIONS
FAIR ASSESSMENT
Coming soon ....
JUPYTER LAB
Coming soon ....