![]() The patient characteristics are shown in Table 1. The purpose of this study was to investigate the result of olecranon external fixation in the olecranon fracture associated with severe soft tissue injury.Ģ0 patients with closed or open olecranon fracture (AO/ASIF classification IC 2–3 & IO 2) had been treated with olecranon external fixator which we devised in the Department of Trauma and Orthopaedic Surgery, Pyongyang Medical College Affiliated Hospital from Jun. Special external fixator suitable to olecranon stabilization can be the resolution of such cases. Until now, however, to our knowledge, application of external fixator peculiar to the olecranon fracture has not been reported although other types of external fixators such as hinged external fixator have been described ( 5, 6).Īlthough most cases of olecranon fracture have been managed with ORIF (open reduction and internal fixation), considerable soft tissue injury around elbow is the contraindication of ORIF. The tension band principle introduced by Weber and Vasey has been widely applied, and, in order to avoid migration of the Kirschner wires, intramedullary devices or plate and screw also have been promoted ( 1- 4). The treatment of olecranon fracture is almost always operation. Olecranon fracture, which may be the result of indirect or direct trauma, accounts for 10% of all upper extremity lesions. Received: 22 April 2020 Accepted: 30 December 2020 Published: 30 April 2021. Keywords: Olecranon elbow external fixator open fracture soft tissue injury This result suggests that severe soft tissue injury associated olecranon fracture which is usually impossible to apply ORIF and that produces a lot of intractable problems can be treated successfully with olecranon external fixator. At the time of the latest follow-up, flexion arc of the elbow was 110±5.0 degree, and the average MEPI was 90. There was no deep infection, but only one mild stiffness happened. In this study, the average operation time was 21.5±5.8 min. Operation time and wound healing problems were recorded, and then final range of motion of the elbow and functional outcome (MEPI) were assessed at the time of the latest follow-up. Twenty patients (20 elbows) with closed or open olecranon fracture (AO/ASIF classification IC 2–3 & IO 2) had been treated with olecranon external fixator, and then they were investigated with follow-up period of at least 2 years. This study discusses the efficacy of external fixation in case of olecranon fracture associated with soft tissue injury, which has not been well studied yet. Soft tissue injury around elbow, however, contraindicates the open reduction and internal fixation of olecranon. Strengthening exercises are recommended to improve the range of motion.Abstract: Olecranon fracture has been operated widely with tension band wiring introduced by Weber and Vasey, or, in case of comminution, with plating. Surgery is indicated in displaced and open fractures to realign the bones and stabilize the joint with screws, plates, pins and wires. Non-surgical treatment options include pain medication, ice application, the use of a splint or a sling to immobilize the elbow during the healing process and physical therapy. The aim of treatment is to maximize early motion and to reduce the risk of stiffness. In some cases, a CT scan may be needed to view the details of the joint surface. To diagnose an elbow fracture, X-rays of the joint are taken. Symptoms of an elbow fracture include pain, bruising, stiffness, swelling in and around the elbow, a popping or cracking sound, numbness or weakness in the arm, wrist and hand, and deformity of the elbow bones. Nerves and arteries in the joint may sometimes be injured in these fractures. Distal humerus fractures: These fractures are common in children and elderly people.Olecranon fractures: These are the most common elbow fractures, occurring at the bony prominence of the ulna.Radial head and neck fractures: Fractures in the head portion of the radius bone are referred to as radial head and neck fractures.Elbow fractures may occur from trauma, resulting from various reasons a fall on an outstretched arm, a direct blow to the elbow, or an abnormal twist to the joint beyond its functional limit. Three bones, the humerus, radius and ulna, make up the elbow joint.
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