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Resection arthroplasty for comminuted olecranon fractures.
1Department of Orthopaedic Surgery, Joint Military Medical Command, San Antonio, Texas.
Orthopaedic Review
|February 1, 1989
Summary
Resection arthroplasty effectively treats comminuted olecranon fractures in elderly patients. This surgical approach for olecranon fractures provides excellent functional outcomes and stability with minimal complications.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Comminuted olecranon fractures are complex injuries.
- Elderly patients with osteoporosis present unique treatment challenges.
Purpose of the Study:
- To evaluate the clinical and functional outcomes of resection arthroplasty for comminuted olecranon fractures in osteopenic patients.
Main Methods:
- Review of five cases treated with proximal fragment resection and triceps advancement.
- Postoperative immobilization followed by range of motion exercises.
- Radiographic and clinical assessment of outcomes.
Main Results:
- Average patient age was 56 years, all with radiographic osteopenia.
- Achieved average active range of motion from 10° to 120° flexion.
- No instability or significant degenerative changes reported.
Conclusions:
- Resection arthroplasty is a viable option for comminuted olecranon fractures in the elderly.
- This technique provides excellent clinical and functional results.