Outcome of isolated olecranon fractures in skeletally immature patients: comparison of open reduction and tension band wiring fixation versus closed reduction and percutaneous screw fixation

Corradin, Marco; Marengo, Lorenza; Andreacchio, Antonio; Paonessa, Matteo; Giacometti, Vanessa; Samba, Antoine; Rousset, Marie; Canavese, Federico

doi:10.1007/s00590-016-1774-y

Cited by 27 publications

(31 citation statements)

References 27 publications

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“…Quick DASH has been used by several authors to evaluate functional outcome of a variety of upper extremity paediatric fractures treated surgically and conservatively. 21-25 In particular, Pavone et al 21 used Quick DASH to evaluate function in 131 children with clavicle fractures treated conservatively. Canavese et al 22 used it in 52 children with displaced proximal humerus fractures treated by ESIN fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Wang et al 23 applied it to children treated surgically for supracondylar humerus fractures. Guyonnet et al 24 used it in children with radial head fractures treated by elastic stable intramedullary nails and Corradin et al 25 used it in children with isolated olecranon fractures treated surgically.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…20 The Quick DASH questionnaire has been successfully used to evaluate functional outcomes after surgical treatment of various upper extremity fractures in children, and it allows for homogeneous evaluation and comparison of varied paediatric patient populations. [21][22][23][24][25] The main objective of this study was to retrospectively evaluate the clinical and radiological outcomes of AMF and CMF in children treated by closed or open reduction and EF. The secondary aim was to evaluate upper extremity function with the Quick DASH.…”

Section: Introductionmentioning

confidence: 99%

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The use of external fixation for the management of acute and chronic Monteggia fractures in children

Yuan

Liu

et al. 2019

Journal of Children's Orthopaedics

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PurposeThe main objective of this study was to retrospectively evaluate the clinical and radiological outcomes of acute (AMF) and chronic Monteggia fractures (CMF) in children treated by closed or open reduction and external fixation (EF).MethodsThis is a retrospective review of 26 patients with Monteggia fracture. Patients with AMF (time between trauma and surgery less than two weeks) were treated by closed reduction and EF of the ulna (Group A; 15 patients) while those with CMF (time between trauma and surgery more than three weeks) were managed by closed or open reduction and EF of the ulna (Group B; 11 patients). Clinical outcome was evaluated with radiography and the short version of the Disabilities of the Arm, Shoulder and Hand outcome questionnaire (Quick DASH). Complications were recorded in both groups.ResultsNo secondary displacement, wire migration, consolidation delays, nonunion, malunion or re-fracture was noted. However, one patient in Group A (6.7%) developed heterotopic ossification of the ulna; the final functional outcome was good (Quick DASH score: 18.2). One case of postoperative redislocation of the radial head was detected in Group B (9.1%). Two patients (7.6%) developed transient pin tract infection. Despite the fact that 16 out of 26 patients (six in Group A and ten in Group B) complained of the clinical appearance and/or had intermittent residual pain on the injured side, the results were essentially the same between the two groups of patients (p > 0.05).ConclusionEF is an alternative for the management of acute and chronic paediatric Monteggia fractures. It provides satisfactory radiological and clinical outcomes with relatively low rates of complications.Level of evidenceIV

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The use of external fixation for the management of acute and chronic Monteggia fractures in children

Yuan

Liu

et al. 2019

Journal of Children's Orthopaedics

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“…These include open reduction and internal fixation with tension band wiring, bone grafting, cannulated screw placement, and cannulated screw placement with adjunctive tension band wiring. Though cannulated screw fixation and tension band wiring have demonstrated equivalent radiographic and clinical outcomes in skeletally immature patients with displaced traumatic olecranon fractures, there has been no direct comparison of techniques in those patients with olecranon stress fractures and persistent symptomatic olecranon physeal injuries [78]. Recent literature has focused on treatment with percutaneous cannulated screws placed under radiographic guidance.…”

Section: Techniquesmentioning

confidence: 99%

Elbow Injuries in the Adolescent Thrower

Griffith

Kercher

Willimon

et al. 2018

Curr Rev Musculoskelet Med

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Purpose of Review With an increasing rate of adolescent elbow injuries, especially in throwing athletes, the purpose of this review is to investigate the current literature regarding the diagnosis, treatment, and non-operative and operative outcomes of medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures. Recent Findings Acceptable outcomes with both non-operative and operative treatments of medial epicondyle fractures have been reported, with surgical indications continuing to evolve. Unstable osteochondritis dissecans lesions, especially in patients with closed growth plates, require operative fixation, and emerging open and arthroscopic techniques including lesion debridement, marrow stimulation, autograft transfer, and allograft transplantation are described with good outcomes. Ulnar collateral repair has emerged as an exciting treatment option for an avulsion of either end of the ligament in young throwing athletes, with faster rehabilitation times than traditional ulnar collateral ligament reconstruction. Olecranon stress fractures are increasing in prevalence, and when a non-operative treatment course is unsuccessful, athletes have a high return-to-play rate after percutaneous cannulated screw placement. Summary With proper indications, non-operative and operative treatment modalities are reported with a high return-to-play and acceptable clinical outcomes for common elbow injuries, including medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures, in adolescent throwing athletes. Further research is needed to better define treatment algorithms, surgical indications, and outcomes.

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