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Volume 4 Issue 3 (July 2015)

Original Articles

Surgical Management of Olecranon Fractures: A Clinical Study Emphasizing the Pros and Cons of Different Techniques, Alongside an Evaluation of Joint Stability and Motion
Ashish Kailash Sharma

Background:Surgical intervention has become increasingly popular and is now considered a crucial approach to management. Early engagement in active mobilization following the surgical procedure plays a key role in swiftly restoring normal function. This proactive and timely mobilization is instrumental in promoting rapid fracture union and preventing issues with the surrounding tissues.Methods:In a study involving 46 participants of both genders, comminuted fractures were addressed using an olecranon hook plate, while simple transverse fractures were treated with tension band wiring using K-wire. The outcomes of the study were evaluated three months after the surgical procedures. During the follow-up visits, a comprehensive clinical examination was performed for all subjects to assess muscle power associated with the treated joint, prominence of cancellous screw heads, elbow joint mobility, tenderness, and joint swelling. Additionally, joint movement, limitations, swelling, and pain were thoroughly examined during the recall visits.Results:According to Mayo Elbow Performance scores, the study revealed excellent outcomes with scores exceeding 90 in 69.56% (n=32) of the participants. A good result was observed in 13.04% (n=6) of the subjects, while fair results were noted in 17.39% (n=8). Notably, no poor results were observed in any subject. In terms of complications, 73.91% (n=34) of the participants experienced no issues. Symptomatic metal prominence was noted in 13.04% (n=6), superficial infection in 8.69% (n=4), and implant loosening was the least common complication, observed in only 4.34% (n=2) of the study subjects.Conclusion:In conclusion, the current study affirms that the treatment approaches employed for Olecranon fractures, utilizing the Olecranon hook plate for comminuted fractures and tension band with K-wire for simple transverse fractures with open reduction and internal fixation, prove to be effective modalities with minimal drawbacks.

 
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