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Related Experiment Video

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Olecranon fixation with two bicortical screws.

James R Gill1, Lieven Vermuyten1, Sophie A Schenk2

  • 1Department of Trauma and Orthopaedics, West Suffolk NHS Foundation Trust, Bury St Edmunds, UK.

Bone & Joint Open
|November 20, 2020
PubMed
Summary

Bicortical screw fixation for olecranon fractures and osteotomies demonstrates low complication rates and excellent elbow range of motion. This surgical technique offers a reliable option for treating these elbow injuries.

Keywords:
Olecranon fractureOlecranon osteotomy

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Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Biomechanics

Background:

  • Olecranon fractures and osteotomies are common elbow injuries.
  • Surgical fixation is often required to restore elbow function.
  • Bicortical screw fixation is a technique used for stabilizing these fractures.

Purpose of the Study:

  • To evaluate the outcomes of bicortical screw fixation for olecranon fractures and osteotomies.
  • To assess complication rates, re-operation needs, and radiological outcomes.
  • To determine the functional range of motion achieved post-treatment.

Main Methods:

  • Retrospective case series of patients treated between 2008 and 2019.
  • Inclusion criteria: olecranon fractures and osteotomies fixed with two bicortical screws.
  • Outcome measures: re-operation, complications, loss of reduction, and elbow range of motion.

Main Results:

  • 17 olecranon fractures and 10 osteotomies were treated.
  • No operative re-interventions were required.
  • Two cases of non-operative loss of reduction occurred in elderly osteoporotic females.
  • Mean elbow flexion: 136°, extension: -5°, arc of motion: 131°.

Conclusions:

  • Bicortical screw fixation is a safe and effective method for treating olecranon fractures and osteotomies.
  • Patients achieve near-full elbow range of motion with low complication rates.
  • This technique provides a reliable surgical option for olecranon injuries.