Ki-Do Hong; Tae-Ho Kim; Jae-Cheon Sim; Sung-Sik Ha; Min-Chul Sung; Jong-Hyun Jeon

doi:10.12671/jkfs.2015.28.1.59

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Original Article
Treatment of Olecranon Fractures with Proximal Ulna Comminution Using Locking Compression Plates: Ki-Do Hong, M.D., Tae-Ho Kim, M.D., Jae-Cheon Sim, M.D., Sung-Sik Ha, M.D., Min-Chul Sung, M.D., Jong-Hyun Jeon, M.D.; Journal of the Korean Fracture Society 2015;28(1):59-64.
DOI: https://doi.org/10.12671/jkfs.2015.28.1.59
Published online: January 20, 2015

Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.

Address reprint requests to: Tae-Ho Kim, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3324, Fax: 82-2-2212-2673, crash1401@naver.com

• Received: December 12, 2014 • Revised: December 24, 2014 • Accepted: December 24, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study is to evaluate the clinical results of locking compression plate (LCP) fixation for olecranon fractures with proximal ulna comminution.
Materials and Methods
We review 10 cases of olecranon fractures with proximal ulna comminution treated with LCPs from August 2011 to August 2013. Follow-up period was from 12 months to 18 months. Mean age was 63.1 years (35-84 years). According to the Mayo classification, there were eight type IIB, and two type IIIB fractures. We used Mayo classification. Clinical evaluation was performed based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo elbow performance score (MEPS) were used for evaluation of functional recovery.
Results
All patients had bone union. According to the MEPS, nine of ten patients had a good or excellent outcome. The mean DASH score was 18.6. All cases started postoperative range of motion (ROM) within 14 days. Elbow ROM was more than 110° in all cases except one. Mean radiological bony union time was 4.2 months (2.5-6.0 months) postoperatively. Complication was hardware irritation in three patients.
Conclusion
Internal fixation using LCP for olecranon fractures with proximal ulna comminution can be a good treatment option which obtains good clinical results and enables early ROM.
Key words: Olecranon fractures, Internal fixation using locking compression plate, Early range of motion

Financial support: None.

Conflict of interest: None.

REFERENCES

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Fig. 1

(A) Radiographs show olecranon fracture of type IIIB with proximal ulna comminution. (B) Radiographs show internal fixation of olecranon fracture with locking compression plate postoperatively.

Fig. 2

(A) Radiographs show olecranon fracture of type IIB with proximal ulna comminution. (B) Three-dimensional reconstructed computed tomography scan shows olecranon fracture of type IIA with proximal ulna comminution. (C) Radiographs show internal fixation of olecranon fracture with locking compression plate (LCP) postoperatively. (D) Radiographs of postoperative 12 months show LCP with good congruity of the elbow.

Table 1

Data of the Patients

ROM: Range of motion.

Figure & Data

REFERENCES

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Treatment of Olecranon Fractures with Proximal Ulna Comminution Using Locking Compression Plates

J Korean Fract Soc. 2015;28(1):59-64. Published online January 31, 2015

DOI: https://doi.org/10.12671/jkfs.2015.28.1.59

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Figure

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Treatment of Olecranon Fractures with Proximal Ulna Comminution Using Locking Compression Plates

Fig. 1 (A) Radiographs show olecranon fracture of type IIIB with proximal ulna comminution. (B) Radiographs show internal fixation of olecranon fracture with locking compression plate postoperatively.

Fig. 2 (A) Radiographs show olecranon fracture of type IIB with proximal ulna comminution. (B) Three-dimensional reconstructed computed tomography scan shows olecranon fracture of type IIA with proximal ulna comminution. (C) Radiographs show internal fixation of olecranon fracture with locking compression plate (LCP) postoperatively. (D) Radiographs of postoperative 12 months show LCP with good congruity of the elbow.

Fig. 1

Fig. 2

Treatment of Olecranon Fractures with Proximal Ulna Comminution Using Locking Compression Plates

Table 1

Data of the Patients

ROM: Range of motion.

Table 1 Data of the Patients

ROM: Range of motion.