Transolecranon anterior fracture dislocation.

Détails

ID Serval
serval:BIB_A01699EEC97D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Transolecranon anterior fracture dislocation.
Périodique
Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]
Auteur(s)
Mouhsine E., Akiki A., Castagna A., Cikes A., Wettstein M., Borens O., Garofalo R.
ISSN
1532-6500[electronic]
Statut éditorial
Publié
Date de publication
2007
Volume
16
Numéro
3
Pages
352-7
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
Between January 1996 and July 2003, 93 consecutive patients operated on with a diagnosis of olecranon fractures were identified from our trauma unit files. Fourteen transolecranon fracture-dislocations were found after a retrospective X-radiographic evaluation. Eight patients were women and six were men, with a mean age of 54 years. There were 4 noncomminuted olecranon fractures, treated with K-wires and single tension-band wiring. The remaining 10 fractures were complex fractures, treated in 3 cases with multiple K-wires and single tension-band wiring, in 2 by use of one-third tubular plates, in 1 with a 3.5-mm dynamic compression plate, and in the remaining 4 with 3.5-mm reconstruction plates. Ligament repair was not performed in any case. Three patients needed reoperation because of early failure of primary fixation. Patients were reviewed at a mean follow-up of 3.6 years. Two reported difficulties in daily activities, none with any symptoms of elbow instability. According to the Broberg and Morrey score, 4 patients had excellent results, 6 had good results, 2 had fair results, and 2 had poor results. Four patients showed signs of degenerative arthritis on the radiographs obtained at follow-up. We conclude that transolecranon fracture-dislocation is an underreported and misdiagnosed injury. Various fixation techniques can restore the anatomic relationships and contour of the trochlear notch; the imperative goal is to obtain a good stable primary fixation and allow early active mobilization.
Mots-clé
Adult, Aged, Aged, 80 and over, Dislocations, Elbow Joint, Female, Fracture Fixation, Internal, Fracture Healing, Fractures, Bone, Humans, Male, Middle Aged, Pain, Postoperative, Prognosis, Range of Motion, Articular, Recovery of Function, Retrospective Studies, Risk Assessment
Pubmed
Web of science
Création de la notice
24/01/2008 16:17
Dernière modification de la notice
20/08/2019 16:06
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