Techniques and Fixation of Olecranon Osteotomy: A Systematic Review

PurposeWe aimed to characterize the incidence of complications regarding olecranon osteotomy, looking more specifically at type osteotomy and fixation construct used repair osteotomy.MethodsIn accordance with Preferred Reporting Items for Systematic Reviews Meta-Analyses guidelines, a comprehensive search was performed. A study included if it an adult clinical study, transverse or chevron performed, explicitly states osteotomy. quality assessment performed in each prior data extraction.ResultsWe 39 studies total 1,445 patients. Most patients who were being treated primarily distal humerus fracture. The overall delayed union 27/643 (4.2%), higher rate than (5/49 (10.2%) vs 22/595 (3.7%)). Nonunion occurred 43/811 (5.4%) patients, (6/73 (8.2%) vs. 37/712 (5.2%)). Implant failure loss reduction 44/746 (5.9%) (11/49 (22.4%) 33/688 (4.8%)). removal implants 236/1078 (21.9%) all highest those that plate 44/99 (44.4%).ConclusionsCompared underwent had union, nonunion, implant requiring revision surgery. indicates should be informed nearly half fixed removed after implantation.Type study/level evidenceTherapeutic III. We In extraction. (44.4%). Compared implantation.