Methods of fixation of olecranon fractures. An experimental mechanical study

Fyfe, I S; Mossad, Mohammed M.; Holdsworth, Brian J.

doi:10.1302/0301-620x.67b3.3997942

Cited by 147 publications

(79 citation statements)

References 3 publications

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“…Since 1883, there have been many reports on plate fixation of comminuted olecranon fractures, with variable results, as noted by Hak and Golladay in a review article 4 . Plate fixation is the current gold standard for the treatment of these fractures [4][5][6][7] . Contoured plating of the olecranon, in which the proximal end of the plate is wrapped around the tip of the olecranon, leads to good results when used for the treatment of oblique fractures [7][8][9][10][11][12] .…”

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

124

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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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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

124

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“…23,24 However, in our study we found that 82% of the removed metal work was fixed using two knots. We have found that having two knots will increase the chances of having metal work irritation whereas our patients with one-knot figure of eight formation did very well with a low percentage of metalwork removal.…”

Section: Discussionmentioning

confidence: 50%

Tension band wire fixation in olecranon fractures: a retrospective study

et al. 2016

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“…Other authors have considered a plate to be too large an implant to be used, or only marginally better as a routine method of fixation for this kind of fracture (Fyfe et al 1985, Morrey 1995, Romero et al 2000. The AO principle of converting posterior tensile forces to articular compressive forces has been questioned in a mechanical test of 4 fixation techniques, which consisted of intramedullary and cortically fixed tension constructs, cancellous screw with and without a tension band (Hutchinson et al 2002).…”

Section: Discussionmentioning

confidence: 99%

“…A screw in conjunction with a tension band proved better fixation stability than the three other methods. In another mechanical study comparing 5 techniques of internal fixation of fractures of the olecranon, the tension band wiring with 2 tightening knots allowed minimal movement even at high loads (Fyfe et al 1985). Intramedullary cancellous screw fixation gave erratic results, even with the addition of a tension band.…”

Section: Discussionmentioning

confidence: 99%

The olecranon sled—a new device for fixation of fractures of the olecranon: A mechanical comparison of two fixation methods in cadaver elbows

2006

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Background Tension band wiring is the most common surgical procedure for fixation of fractures of the olecranon, but symptomatic hardware prominence and migration of K-wires can cause a high re-operation rate. The olecranon sled has been designed to minimize some of these problems.Material and methods Simulated olecranon fractures were created in 6 matched pairs of cadaver arms. Each pair was fixed with tension band wiring used on the one arm and the olecranon sled being used on the other. Mechanical testing was done with the humerus rigidly fixed in a vertical position while the forearm was held at 1 of 3 angles of elbow fixation, 45º, 90º and 135º, respectively. For each angle, the triceps and the brachialis muscles were sequentially loaded with 5 kg (50 N) for 20 cycles and the amount of fracture displacement measured.Results Loading of the brachialis muscle produced no increase in the fracture gap for either of the two fixation techniques. However, an increase in the fracture gap of up to 0.23 mm was found after cyclic loading of the triceps muscle for both techniques. The amount of increase was not significantly different between the two techniques.Interpretation The olecranon sled appears to provide as stable fixation as tension band wiring for olecranon fractures.

show abstract

Methods of fixation of olecranon fractures. An experimental mechanical study

Cited by 147 publications

References 3 publications

Clinical Evaluation of Locking Compression Plate Fixation for Comminuted Olecranon Fractures

Clinical Evaluation of Locking Compression Plate Fixation for Comminuted Olecranon Fractures

Tension band wire fixation in olecranon fractures: a retrospective study

The olecranon sled—a new device for fixation of fractures of the olecranon: A mechanical comparison of two fixation methods in cadaver elbows

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