Outcomes after plating of olecranon fractures: A multicenter evaluation

Giacomo, Anthony F. De; Tornetta, Paul; Sinicrope, Brent J.; Cronin, Patrick K.; Althausen, Peter L.; Bray, Timothy J.; Kain, Michaël; Marcantonio, Andrew; Sagi, H. Claude; James, Chris

doi:10.1016/j.injury.2016.04.015

Cited by 39 publications

(38 citation statements)

References 13 publications

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“…Hewins et al 9 reported a favorable outcome in osteotomies fixed with 3.5 mm contoured plate with respect to the forces acting on the site. De Giacomo et al 10 found the length of the plate to be an independent predictor of loss of motion at the elbow as opposed to the fracture characteristics. The present study demonstrated a decreased flexion arc initially in the plate group at 3 months that improved later on and a better MEPS in the plate group; however, it failed to show any statistically significant difference between both.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the elbow ROM, functional assessment was done by measuring forearm rotation (supination and pronation) using a full circle goniometer and by using Mayo elbow performance index score. The hardware sensitivity was graded according to De Giacomo et al 10 Grade 1: no irritation, Grade 2: painful when leaning on elbow, and Grade 3: painful on normal ROM and hamper normal routine activity. Loss of reduction, nonunion, removal of hardware, and wound complications were studied for both groups (►Figs.…”

Section: Methodsmentioning

confidence: 99%

“…1 and 3). The wound complications were further classified according to De Giacomo et al 10 Grade 1: marginal skin necrosis but implant not exposed. Grade 2: wound dehiscence with proximal extent of implant exposed.…”

Section: Methodsmentioning

confidence: 99%

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A Comparative Retrospective Analysis of Tension Band Wiring and 3.5 mm Precontoured Plate Used for Fixation of Chevron Osteotomy in Type C Distal Humerus Fractures

Nayak

Yadav

Batra

et al. 2020

International Journal of Recent Surgical and Medical Sciences

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Introduction Complex distal humerus fractures are rare and difficult to treat and traditionally requires an open reduction and internal fixation via a transolecranon approach. However, controversy remains regarding the better method of fixation of the chevron osteotomy. The purpose of the present study was to compare the clinical efficacy of tension band wiring (TBW) and 3.5 mm precontoured plate in treating the chevron osteotomy. Materials and Methods A consecutive series of 49 patients who required olecranon osteotomy for type C distal humerus fractures were identified and grouped according to the construct used. Clinic–radiological evaluation was done at 3 months, 6 months, 1 year, and 2 years. A total of 34 males and 15 females with a mean age of 36.9 ± 12.64 years (18–62 years) were included in the study. Surgical duration, range of motion, Mayo elbow performance score (MEPS), and complications were noted at the follow-up Results The mean range of motion was initially lower in the plate group (105 degrees ± 9.9 in plate, 107 degrees ± 9.15 in TBW) that subsequently increased at 6 months. The forearm rotation was similar in both the groups. The mean MEPS was found to be higher in the plate group at 2 years (81.83 ± 5.85 in plate, 77.76 ± 8.02 in TBW). A significantly higher rate of complications, that is, nonunion (p = 0.03), loss of reduction (p = 0.03), and revision (p = 0.04) was observed in the TBW group. However, other complications such as symptomatic hardware, wound complication, and removal of hardware were found to be higher in the plate group. Conclusion Both TBW and 3.5 mm precontoured plate provide comparable functional outcomes; however, the complication rate in terms of nonunion, loss of reduction, and revision is seen in the TBW, whereas wound complication and symptomatic hardware are more commonly seen in the plate.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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A Comparative Retrospective Analysis of Tension Band Wiring and 3.5 mm Precontoured Plate Used for Fixation of Chevron Osteotomy in Type C Distal Humerus Fractures

Nayak

Yadav

Batra

et al. 2020

International Journal of Recent Surgical and Medical Sciences

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“…Several different surgical methods have been described using pullout sutures [3][4][5][6], suture buttons [3,6], suture anchors [7][8][9][10], interference docking screws [11], condylar shaving with suture anchors [12], arthroscopic repair [13], and suture tape augmentation [14,15].…”

Section: Introductionmentioning

confidence: 99%

Clinical results of the BoneWelding®Fiji® anchor for the treatment of Stener lesions of the thumb

Kastenberger

Kaiser

Schmidle

et al. 2020

Arch Orthop Trauma Surg

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Introduction A new technology (Sportwelding®) was recently presented, which uses ultrasonic energy to meld a resorbable suture anchor at the interface with the host bone. A standardized clinical use was not investigated yet. This study prospectively evaluated the surgical and clinical outcomes of the Fiji Anchor® (Sportwelding®, Schlieren, Switzerland) in the repair of an ulnar collateral ligament lesion of the metacarpophalangeal joint of the thumb. Material and methods The range of motion, grip and pinch strength, disability of arm, shoulder and the hand (DASH) and patient rated evaluation (PRWE) score, pain, satisfaction, complications and adverse events were assessed in 24 patients after surgical treatment for an acute displaced rupture or avulsion of the ulnar collateral metacarpophalangeal ligament of the thumb using the Fiji Anchor® after 6, 12 and 52 weeks. Results At final follow up, the range of motion of the metacarpophalangeal joint reached almost the contralateral side (49.3° SD 11.7°). Thumb opposition showed a Kapandji score of 9.7 (SD 0.5; range 9–10). Grip strength, the lateral, tip and the three jaw pinch showed nearly similar values compared to the contralateral side (83–101%). Pain was low (0.2 SD 0.7 at rest and 0.6 SD 1.0 during load). The DASH score was 5.0 (SD 7.3) and the PRWE score was 4.1 (SD 9.0). 81% of patients were very satisfied at final follow-up. Two patients were rated unstable during the follow-up period due to a second traumatic event. Three cases experienced difficulties during anchor insertion, whereby incorrect anchor insertion resulted in damage to the suture material; however, this was resolved after additional training. Conclusion One advantage of this anchor appears to be its stable fixation in cancellous bone. The surgical treatment of an ulnar collateral ligament lesion of the thumb using the Fiji Anchor® can lead to an excellent clinical outcome with a minor complication rate; however, long-term dangers and the cost effectiveness of the procedure are not known yet.

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“…Plate fixation has been demon-strated to have increased biomechanical stability and decreased complications compared with other fixation methods; however, there certainly is a risk for hardware prominence necessitating removal, which is not unique to this fixation construct. 2,5,12,19,25,26,28,29,31 The goals of operative fixation of displaced olecranon fractures are to gain anatomic reduction, ensure union, and provide stable fixation to allow for early motion.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Evaluation of Standard Versus Extended Proximal Fixation Olecranon Plates for Fixation of Olecranon Fractures

Boden

Daly

Dalwadi

et al. 2018

Hand (New York, N,Y.)

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Outcomes after plating of olecranon fractures: A multicenter evaluation

Cited by 39 publications

References 13 publications

A Comparative Retrospective Analysis of Tension Band Wiring and 3.5 mm Precontoured Plate Used for Fixation of Chevron Osteotomy in Type C Distal Humerus Fractures

A Comparative Retrospective Analysis of Tension Band Wiring and 3.5 mm Precontoured Plate Used for Fixation of Chevron Osteotomy in Type C Distal Humerus Fractures

Clinical results of the BoneWelding®Fiji® anchor for the treatment of Stener lesions of the thumb

Biomechanical Evaluation of Standard Versus Extended Proximal Fixation Olecranon Plates for Fixation of Olecranon Fractures

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