Fractures of the olecranon

被引:12
|
作者
Gierer, P. [1 ]
Wichelhaus, A. [1 ]
Rotter, R. [1 ]
机构
[1] Univ Med Rostock, Chirurg Klin & Poliklin, Abt Unfall Hand & Wiederherstellungschirurg, Schillingallee 35, D-18057 Rostock, Germany
来源
关键词
Olecranon; Osteosynthesis; fracture; Surgical technique; Fracture fixation; Osteoporosis;
D O I
10.1007/s00064-017-0490-z
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Fractures of the olecranon are the most common fractures of the elbow in adults. Due to the dislocating force of the triceps muscle, internal fixation is the treatment of choice. All fractures of the olecranon without contraindications. Infection and severe soft tissue damage. Dorsal approach to the olecranon with the patient in a prone position. Open reduction and internal fixation with tension band wiring or plate fixation according to fracture pattern. Treatment goal is early functional mobilization. No load bearing allowed for 6-8 weeks; full load bearing is allowed after fracture healing. The quality of published studies concerning the surgical treatment of olecranon fractures is poor. Published functional results are predominantly good and excellent. Hardware removal was often required.
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收藏
页码:107 / 114
页数:8
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