![]() Given the variability in fracture patterns, the complex anatomy, and associated injuries, treating surgeons must be familiar with multiple treatment methods and follow a systematic surgical strategy to avoid complications and achieve reliable outcomes. The Mayo classification provides a treatment algorithm and prognosis based on fracture type 5, 13, 15.It was meant to simplify the classification of olecranon fractures into a practical system that is clinically useful. Olecranon fractures frequently require surgical management to restore articular congruity and elbow. Fractures sustained range from simple nondisplaced fractures to complex open fracture dislocations. In addition, fixation must be stable enough to permit early mobilization to avoid significant elbow stiffness. Fractures of the olecranon are a relatively common injury in adults its subcutaneous location leaves it vulnerable to injury from a direct blow. In the case of trans-olecranon fracture dislocations, damage is the result of high energy in the mid-range flexion. Because olecranon fractures are all intra-articular injuries, they require anatomic or essentially normal surface reduction and trochlear notch contour for predictable outcomes. Trans-olecranon fracture dislocations are defined as fractures in which the stability of the ulnohumeral joint is lost due to intra-articular fracture of the olecranon with no disruption of the proximal radioulnar joint 1, 2. The method of internal fixation is chosen based primarily on fracture type. Several treatment options for internal fixation have been described, including tension-band wiring, plate fixation, intramedullary screw fixation, and triceps advancement after fragment excision. The Colton classification was based on fracture morphology, mechanism of injury, and stability of. Colton developed a classification system of olecranon fractures in 1973. The various fracture patterns differ in their mechanical characteristics and how they might best be treated surgically. We found satisfactory short-term and long-term outcomes following the nonoperative management of isolated displaced olecranon fractures in older, lower-demand patients.Approximately 10% of fractures about the adult elbow consist of fractures of the olecranon process of the ulna and range from simple nondisplaced fractures to complex fracture-dislocations of the elbow. Olecranon fractures are relatively common in adults. At a mean of six years (range, two to fifteen years) postinjury, the mean DASH score was 2.9 points (range, 0 to 33.9 points) and the mean Oxford Elbow Score was 47 points (range, 42 to 48 points) 91% (twenty-one) of twenty-three patients available for follow-up expressed satisfaction with the result of the procedure. No patient underwent surgery for a symptomatic nonunion. At a mean of four months (range, 1.5 to ten months) following injury, the mean Broberg and Morrey score was 83 points (range, 48 to 100 points), with 72% of the patients having an excellent or good short-term outcome. A low-energy fall from a standing height accounted for 84% of all injuries, and one or more comorbidities were documented in thirty-eight patients (88%). There were forty-three patients with a mean age of seventy-six years (range, forty to ninety-eight years) in the study cohort. The primary long-term outcome measure was the Disabilities of the Arm, Shoulder and Hand (DASH) score. The Mayo classification provides a treatment algorithm and prognosis based on fracture type 5, 13, 15. ![]() The primary short-term outcome measure was the Broberg and Morrey Elbow Score. Inclusion criteria included all isolated fractures of the olecranon with >2-mm displacement of the articular surface. We identified, from our prospective trauma database, all patients who had been managed nonoperatively for a displaced olecranon fracture over a thirteen-year period. ![]() The aim of this study was to document both the short and the long-term outcomes following primary nonoperative management of isolated displaced fractures of the olecranon.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |