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Fractures: Bone Repair

Fractures: Bone Repair

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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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Low Complication Rates in Olecranon Fracture Fixation With Dual Plating.

Matthew J Brown, Cathy L Vu, Christine J Wu

|December 19, 2024

Summary

Dual plating (DP) for olecranon fractures shows promise, with a low 2.4% hardware removal rate. This surgical technique offers a reliable fixation method with fewer complications than traditional dorsal plating.

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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Area of Science:

Orthopedic Surgery
Trauma Management
Biomechanical Fixation

Background:

Olecranon fractures often involve the joint and extensor mechanism, typically treated with dorsal plating or tension bands.
Traditional dorsal plating has limitations including prominence, inadequate fixation for certain fracture lines, and difficulty in achieving correct proximal ulna dorsal angulation (PUDA).
Dual plating (DP) has emerged as an alternative surgical technique to address these shortcomings.

Purpose of the Study:

To evaluate the efficacy of dual plating (DP) for treating olecranon fractures.
To compare complication rates and hardware removal incidence of DP versus traditional fixation methods.
To assess the ability of DP to restore native elbow anatomy and provide stable fixation.

Main Methods:

A retrospective review of adult patients with olecranon fractures treated with DP fixation between January 2017 and April 2023.
Exclusion criteria included open fractures, fracture dislocations, prior elbow injuries, and pathologic fractures.
Data collected included demographics, imaging, reoperations, range of motion, PUDA, varus angulation, intra-articular step-off, and fracture distraction.

Main Results:

The study reviewed 42 fractures in 41 patients with a mean follow-up of 8.7 months.
Only 2.4% of patients required hardware removal, primarily due to infection, not symptomatic hardware.
Overall, 11.9% of patients experienced at least one postoperative complication.

Conclusions:

Dual plating (DP) is a valuable and reliable surgical strategy for olecranon fractures.
DP fixation demonstrates a low hardware removal rate and fewer complications compared to standard dorsal plating.
This technique effectively restores native anatomy and provides stable fixation for olecranon fractures.