Title: Precontoured Plate Fixation in Fracture Olecranon in Adults
Authors: Nishit Kumar Singh, Partap Singh, Kuldeep Malik, Himanshu Agrahari, Sandeep Chauhan
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.121
Abstract
Introduction: Olecranon process is a large, curved eminence comprising of the proximal and posterior part of the ulna. It lies subcutaneously which makes it more vulnerable to injury. Due to intra-articular extension of fractures, anatomical reduction and early mobilization should be achieved in every case.
Aims and Objectives: To evaluate the results of precontoured LCP in fracture olecranon and to achieve union in fracture olecranon.
Materials and Methods: This was a prospective study consisted of 25 cases of olecranon fractures which were managed by open reduction and internal fixation using Precontoured locking compression plate (LCP). Patients were followed up every month till 6 months. Final assessment was done at 6 months using the Mayo Elbow Performance Score.
Results: According to the Mayo classification, 20 fractures were type II and 5 type I. An adequate reduction was maintained in all elbows until union. The MEPS-rated outcome was 19(76%) excellent, 4(16%) good and 2(8%) fair with best result in 20-29 yr age group. 2(8%) patient develop superficial infection which was treated with broad spectrum antibiotic and wound dressings and 6(24%) patient develop symptomatic metal prominence which is managed with implant removal.
Conclusion: open reduction and internal fixation with precontoured LCP is based on sound biomechanical principle with a good functional outcome and a low incidence of complications.
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