Long-Term Outcome of Operatively Treated Fracture-Dislocations of the Olecranon

Lindenhovius, Anneluuk L.C.; Brouwer, Kim M.; Doornberg, Job N.; Ring, David; Kloen, Peter

doi:10.1097/bot.0b013e31817283f7

Cited by 80 publications

(65 citation statements)

References 20 publications

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“…Consistent with our results, prior research found infection, implant failure, and symptoms related to the implants were the most common reasons for reoperation [9,15]. Our study found that personal rather than technical or injury factors had the greatest influence on requests for implant removal.…”

Section: Discussionsupporting

confidence: 91%

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

Claessen

Braun

Peters

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Surgery for fixation of olecranon fractures is associated with reoperation, mostly for implant removal. A study of a large cohort of patients treated by many different surgeons allows us to determine if specific techniques or implants are associated with a higher rate of reoperation. Questions/purposes After open reduction and internal fixation of isolated olecranon fractures, what factors are associated with (1) reoperation and (2) implant removal? Methods Three hundred ninety-two adult patients who had operative treatment of a displaced olecranon fracture not associated with other fractures, dislocation, or subluxation at two area hospitals between January 2002 and May 2014 were analyzed to determine factors associated with reoperation. One hundred thirty-eight (35%) patients had plate and screw fixation and 254 (65%) tension band wiring. Nearly 100% of patients with displaced olecranon fractures are currently treated operatively at our hospitals. All patients were followed for at least four months. Two hundred three of the 392 (52%) patients were followed for one year or more. Ninety-nine patients (25%) had a second operation, 92 (93%) at least in part for implant removal (12 for wire migration [3% of all fractures, 12% of reoperations]). We considered patient-related, fracture-related, and implant-related endpoints as possible factors associated with reoperation. With a total sample size of 99 reoperations, an a of 0.05, and an effect size of 0.3, we had 87% power.One of the authors (DR) received grants from Skeletal Dynamics (Miami, FL, USA) in the amount of USD 10,000 to USD 100,000, other from Wright Medical (Memphis, TN, USA) in the amount of less than USD 10,000, personal fees from Biomet (Warsaw, IN, USA) in the amount of less than USD 10,000, personal fees from Acumed (Hillsboro, OR, USA) in the amount of less than USD 10,000), other from IlluminOss Medical, Inc (East Providence, RI, USA; stock options only), personal fees as Deputy Editor for the Journal of Hand Surgery (less than USD 10,000), personal fees as Deputy Editor for Clinical Orthopaedics and Related Research 1 (less than USD 10,000), personal fees from universities and hospitals (less than USD 10,000), and personal fees from lawyers (less than USD 10,000) outside the submitted work. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDAapproval status, of any drug or device prior to clinical use. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123Clin Orthop Relat Res (2016) 474:193-200 ...

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Section: Discussionsupporting

confidence: 91%

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

Claessen

Braun

Peters

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Our findings are consistent with those stated by Chalidiset al 13 and Lindenhoviuset al 14 and somewhat superior to that of Van der Linden et al 15 in terms of range of motion. Moreover flexion contracture or extension loss was found to somewhat similar as compared to most of the other studies.…”

Section: Discussionsupporting

confidence: 83%

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw

Bhattacharyya¹,

Frank²,

Hazarika³

et al. 2016

IOSR

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“…A possible explanation is that the locking compression plate does not contour closely to the bone, although it has been our experience that patients are inconvenienced by the implant regardless of how well it is contoured to the bone. Long-term follow-up studies on tension band fixation for the treatment of olecranon fractures have shown rates of hardware removal of >80% [26][27][28] . Furthermore, at some institutions, hardware removal has even been considered as routine practice 28 .…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Locking Compression Plate Fixation for Comminuted Olecranon Fractures

Buijze

Kloen

2009

The Journal of Bone and Joint Surgery-American Volume

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Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures Buijze, G.; Kloen, P. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible.

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Long-Term Outcome of Operatively Treated Fracture-Dislocations of the Olecranon

Abstract: The initial results of operative treatment of fracture-dislocations of the olecranon are durable over time.

Cited by 80 publications

References 20 publications

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

Factors Associated With Reoperation After Fixation of Displaced Olecranon Fractures

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw

Clinical Evaluation of Locking Compression Plate Fixation for Comminuted Olecranon Fractures

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