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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Feb 4, 2026

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

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[Olecranon fractures].

M Hackl1, V Rausch2, C Ries2

  • 1Schwerpunkt für Unfall‑, Hand- und Ellenbogenchirurgie, Universitätsklinik zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland. michael.hackl@uk-koeln.de.

Der Unfallchirurg
|October 14, 2018
PubMed
Summary
This summary is machine-generated.

Olecranon fractures, common elbow injuries, often require surgery. While tension band wiring and plate osteosynthesis are standard, low-profile plates may reduce complications and implant removal needs.

Keywords:
ClassificationElbow jointFracture fixationOpen fracture reductionOsteoporosis

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Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Olecranon fractures are frequent elbow injuries, typically managed surgically.
  • Geriatric patients with specific fracture types may be candidates for conservative treatment.
  • Surgical approaches must consider the unique anatomy of the proximal ulna.

Purpose of the Study:

  • To review current surgical techniques for olecranon fractures.
  • To compare the efficacy and complication rates of tension band wiring versus plate osteosynthesis.
  • To evaluate the potential benefits of modern low-profile plates in olecranon fracture management.

Main Methods:

  • Review of existing literature on olecranon fracture fixation techniques.
  • Analysis of clinical outcomes and complication data for tension band wiring and plate osteosynthesis.
  • Assessment of studies investigating the use of low-profile plates for olecranon fractures.

Main Results:

  • Tension band wiring is standard for simple fractures with good results.
  • Plate osteosynthesis is preferred for complex fractures, offering more stable fixation.
  • Both methods may necessitate hardware removal due to soft tissue irritation.
  • Low-profile plates show promise in reducing implant removal rates.

Conclusions:

  • Plate fixation is increasingly favored over tension band wiring, even for simple olecranon fractures, due to enhanced stability.
  • Modern low-profile plates may mitigate the need for hardware removal by improving soft tissue coverage.
  • Further clinical data is required to fully establish the benefits of low-profile plates.