Clinical and radiological evaluation of surgical management in olecranon fracture–dislocations

Öztürkmen, Yusuf; Sukur, Erhan; Akman, Yunus Emre; Senel, Ahmet Can; Gürpınar, Tahsin

doi:10.1007/s12306-019-00623-0

Cited by 7 publications

(25 citation statements)

References 28 publications

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“…All demographic data were collected and averaged. A total of 105 patients were included in the seven papers reviewed [2,5,6,10,[13][14][15]. The average age was 42.1 years (range 14-82) and included 69 male and 29 female patients [2,5,6,10,14,15], the dominant limb of the injured one was 41% in three studies [2,5,14], and the mean follow-up period was 68.8 months (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 105 patients were included in the seven papers reviewed [2,5,6,10,[13][14][15]. The average age was 42.1 years (range 14-82) and included 69 male and 29 female patients [2,5,6,10,14,15], the dominant limb of the injured one was 41% in three studies [2,5,14], and the mean follow-up period was 68.8 months (Table 1). Six of the seven studies reported the mechanism of injury as follows (n = number of patients): motor vehicle accident (n = 26, 53.1%), fall from height (n = 9, 18.4%), fall from standing (n = 6, 12.2%), roller skating (n = 3, 6.1%), assault (n = 2, 4.1%), snow mobile accident (n = 1, 2%), bicycle accident (n = 1, 1.4%), and direct blow (n = 1, 2%) [2,5,6,10,13,14].…”

Section: Resultsmentioning

confidence: 99%

“…Six of the seven studies reported the mechanism of injury as follows (n = number of patients): motor vehicle accident (n = 26, 53.1%), fall from height (n = 9, 18.4%), fall from standing (n = 6, 12.2%), roller skating (n = 3, 6.1%), assault (n = 2, 4.1%), snow mobile accident (n = 1, 2%), bicycle accident (n = 1, 1.4%), and direct blow (n = 1, 2%) [2,5,6,10,13,14]. Five studies reported the fracture patterns as either a simple fracture (n = 10, 18.2%) a comminuted fracture (n = 45, 81.8%), or an open fracture (n = 28, 26.7%) [2,5,6,14,15]. Coronoid process fractures accompanied 53.3% (n = 56) of transolecranon fracture dislocations, and radial head fractures accompanied 17.1% (n = 18).…”

Section: Resultsmentioning

confidence: 99%

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Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review

Cho

Kim

et al. 2020

Diagnostics

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The purpose of this study is to provide a systematic review of the definition, ideal surgical method, complications, and prognosis of trans-olecranon fracture dislocations. An electronic search was performed in the PubMed, EMBASE, Scopus, and MEDLINE databases. The eligibility criteria included retrospective clinical study and review article in subjects older than 18 years with trans-olecranon fracture dislocations. Trans-olecranon fracture dislocations are defined as fractures in which the stability of the ulnohumeral joint is lost due to the intra-articular fracture of the olecranon without disruption of the proximal radioulnar joint. The seven papers were included that met the eligibility criteria for the quantitative synthesis. Findings indicate that a pre-contoured plate was used in 88.3% of cases (68 of 77 reports), with no reports of complications, suggesting that the pre-contoured 3.5 mm plate is the first choice of treatment. Postoperative mean elbow range of motion for the flexion–extension arc was 121.1° and 146.5° for the pronation-supination arc. Methods for postoperative clinical scores included the Broberg/Morrey rating with a result of excellent or good in 82.9% of cases, the ASES score with a mean of 88.7, and the DASH score with a mean of 11.75. Complications included heterotopic ossification in 21.9% (23/105) of cases, arthrosis in 25.7% (27/105) of cases, nerve damage in 18.1% (19/105) of cases, and osteoarthritis in 14.3% (15/105). With better understanding of the mechanism of injury and proper diagnosis and treatment, findings of the current review suggest a positive outcome. PROSPERO registration No.: CRD42019126568.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Trans-Olecranon Fracture-Dislocations of the Elbow: A Systematic Review

Cho

Kim

et al. 2020

Diagnostics

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“…Öztürkmen focused on the preoperative planning of olecranon fracture-dislocations, demonstrating that X-rays are inadequate, while the 3D CT allows to study the fracture pattern. 9 …”

Section: Discussionmentioning

confidence: 99%

“…Correct reconstructive strategy steps are to collect patient's medical history, to perform exhaustive physical examinations, and to assess the associated lesions, accurately evaluating the diagnostic imaging (X-rays, computed tomography (CT), and magnetic resonance (MR)). 2 , 9 …”

Section: B Ackgroundmentioning

confidence: 99%

A Peculiar Case of Open Complex Elbow Injury with Critical Bone Loss, Triceps Reinsertion, and Scar Tissue might Provide for Elbow Stability?

Facco¹,

Politano²,

Marchesini³

et al. 2021

Strategies in Trauma and Limb Reconstruction

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A bstract Background Complex elbow injuries (CEIs) are severe and rare lesions, difficult to treat correctly due to the different patterns of clinical presentations. Standard methods cannot often be applied. The main goals of the treatment are performing a stable osteosynthesis of all fractures, obtaining a concentric and stable reduction of the elbow by repairing the soft tissue constraint lesions, and allowing early motion. Since the introduction of virtual reality (VR) approaches in clinical practice, three-dimensional (3D) computed tomography (CT) and 3D printing have revolutionised orthopaedic surgeries, thus helping to understand the anatomy and the pathology of complex cases. Case description We discussed a case of CEI, characterised by an extended soft tissue (IIIB Gustilo classification) and neurovascular lesions associated with bone loss in a young female patient. Olecranon fracture was type IIIB according to Mayo classification. We outlined the steps of a pluri-tissue reconstructive approach and stressed the importance of 3D printing in the preoperative planning for such cases. Finally, peculiar final functional patient outcomes were reported. Conclusion In this case, we found out that triceps reinsertion and scar process may provide for the joint stability in a low-demanding patient. 3D printing and VR approaches in clinical practice can be useful in the management of CEIs associated with an important bone and soft tissue loss. How to cite this article Facco G, Politano R, Marchesini A, et al. A Peculiar Case of Open Complex Elbow Injury with Critical Bone Loss, Triceps Reinsertion, and Scar Tissue might Provide for Elbow Stability? Strategies Trauma Limb Reconstr 2021;16(1):53–59.

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