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Olecranon fractures.

Christian J H Veillette1, Scott P Steinmann

  • 1Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.

The Orthopedic Clinics of North America
|April 1, 2008
PubMed
Summary
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Olecranon fractures, common elbow injuries, require precise surgical fixation. Choosing the right method based on fracture type ensures anatomical reduction and early motion for optimal outcomes.

Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Olecranon fractures constitute about 10% of adult elbow fractures.
  • These fractures range from simple to complex fracture-dislocations, often involving the joint surface.

Purpose of the Study:

  • To review current treatment options for olecranon fractures.
  • To emphasize the importance of fracture type in selecting internal fixation methods.
  • To highlight the need for anatomic reduction and stable fixation for early mobilization.

Main Methods:

  • Review of described internal fixation techniques: tension-band wiring, plate fixation, intramedullary screw fixation, and fragment excision with triceps advancement.
  • Emphasis on fracture classification for treatment selection.
  • Discussion of surgical strategy for managing complex anatomy and associated injuries.

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Main Results:

  • Treatment method selection is primarily dictated by the specific olecranon fracture pattern.
  • Anatomic reduction of the intra-articular surface is crucial for predictable outcomes.
  • Stable fixation enabling early elbow mobilization is essential to prevent stiffness.

Conclusions:

  • Successful management of olecranon fractures necessitates familiarity with multiple surgical techniques.
  • A systematic surgical approach is vital for minimizing complications and achieving reliable results in these complex injuries.