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Related Experiment Videos

Transolecranon anterior fracture dislocation.

E Mouhsine1, A Akiki, A Castagna

  • 1Department of Orthopedics and Traumatology, University Hospital of Lausanne, Lausanne, Switzerland. Elyazid.Mouhsine@hospvd.ch

Journal of Shoulder and Elbow Surgery
|December 26, 2006
PubMed
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Transolecranon fracture-dislocations are often missed injuries. Surgical fixation can restore elbow anatomy, but achieving stable fixation is key for early mobilization and good outcomes.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Olecranon fractures are common elbow injuries.
  • Transolecranon fracture-dislocations are a specific subtype that may be underdiagnosed.
  • Understanding optimal fixation strategies is crucial for patient recovery.

Purpose of the Study:

  • To evaluate the outcomes of surgical management for transolecranon fracture-dislocations.
  • To identify factors influencing treatment success and complications.
  • To emphasize the importance of recognizing this injury pattern.

Main Methods:

  • Retrospective review of 93 olecranon fracture patients from 1996-2003.
  • Identification of 14 transolecranon fracture-dislocations.
  • Analysis of various surgical fixation techniques including K-wires, tension-band wiring, and plate fixation.

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Main Results:

  • Various fixation methods were employed for complex fractures.
  • Three patients required reoperation due to early fixation failure.
  • At a mean 3.6-year follow-up, most patients reported good functional outcomes with no instability, though some showed degenerative arthritis.

Conclusions:

  • Transolecranon fracture-dislocation is an underreported injury requiring accurate diagnosis.
  • Diverse fixation techniques can achieve anatomical reduction.
  • Stable primary fixation enabling early mobilization is paramount for successful treatment and minimizing complications.