Coping strategies for transverse olecranon fracture with articular surface collapse
Objective To explore the fixation method of transverse olecranon fracture with articular surface collapse,and to evaluate the reliability of tension strip steel wire technique.Methods The clinical data of 32 patients with transverse olecranon fracture with articular surface collapse treated by tension strip steel wire technique in our hospital from June 2015 to June 2021 were retrospectively analyzed.The operation time,follow-up time,fracture healing time,occurrence of complications,elbow flexion and extension activity and elbow function were recorded.Results The operation time was 40-60 min,with an average of(45.0±8.6)min.All patients were followed up for 12-18 months,with an average of(14.2±1.8)months.All fractures healed clinically,and the healing time was 9-12 weeks,with an average of(10.2±1.2)weeks.There were no infection,internal fixation failure,fracture displacement and joint surface collapse occurred during the follow-up period.One patient had needle withdrawal and skin irritation at 6 months after operation,but the fracture had healed and the internal fixation was removed.All patients were removed internal fixation during the follow-up period.At the last follow-up,the range of joint motion was 100°-135°,with an average of(115.0°±8.6°);the Mayo Elbow Performance Score(MEPS)was(92.15±5.12)points,30 cases were excellent,and 2 cases were good.Conclusion Tension strip steel wire technique can achieve satisfactory clinical efficacy in the treatment of transverse olecranon fracture with articular surface collapse,and kirschner wire can effectively support the collapsed articular surface.
万方数据
维普
