Methods of Fixation of Olecranon Fractures
نویسنده
چکیده
This study was designed to compare the rigidity of the more commonly used techniques of internal fIxation of fractures of the olecranon. Cadaveric elbow joints were mounted in a jig and confrolled osteotomies performed to simulate transverse, oblique or comminuted fractures. Five techniques of internal fixation were tested by measuring movement at the fracture site after applying a bending moment to the ulna. At transverse osteotomies tension-band wiring with two tightening knots allowed least movement even at high loads. Intramedullary cancellous screw fixation gave erratic results; adding a tension band with a single knot was little better. In oblique osteotomies, no statistically significant difference was shown between one-third tubular plate fixation and double-knot wiring. Comminuted osteotomies were held most rigidly by contoured one-third tubular plate fixation.
منابع مشابه
Operative treatment of communited olecranon fractures using tension-band wiring and miniplate augmentation.
Olecranon fractures are intra-articular injuries that require anatomic restoration of the articular surface. For most simple noncomminuted transverse olecranon fractures, tension band wire fixation can provide a stable construct to allow for early joint range of motion. However, in comminuted olecranon fractures, it is difficult to provide a sufficient buttress for impacted articular fragments ...
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