Evaluation of Functional Outcome of Pre-Contoured Olecranon Locking Plate in Fractures of the Olecranon
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 2
Abstract
Objective: Our present study aims to evaluate the functional outcome of precontoured olecranon locking plate for fractures of the olecranon in skeletally mature patients.Design: Consecutive case series.Setting: Tertiary centerPatients:The study was performed on thirty one skeletally mature patients with displaced fractures of the olecranon (Mayo Type II and III).Intervention: Open reduction and internal fixation of displaced olecranon fractures with pre contoured olecranon locking plate.Main Outcome Measurements: Patients were assessed by measuring the range of motion and Mayo Elbow Performance Score (MEPS) and Mayo Elbow Performance Index (MEPI). Serial radiographs were reviewed preoperatively for fracture classification and associated fractures, immediately postoperatively, and at the time of final review for adequacy and maintenance of reduction, evidence of union and arthritis.Results: At 1 year of follow up, the mean flexion of elbow was 123.7° (range 90-130°), while the mean extension lag was 5.64° (range 0-30°). The MEPS index showed 1patient having fair result, 6 patients having good results and 24 patients having excellent results. None of the patients had poor results. The mean MEPS were 90.65.All patients showed full radiological union. Conclusions: ‘Pre-contoured Olecranon Locking Plate’ provides rigid internal fixation allowing vigorous early mobilization at the elbow, especially in comminuted fractures of the olecranon. It shows an excellent rate of radiological union. There was no case of implant failure in our study, even in comminuted fractures. Thus it is a viable alternative to other forms of fixation of olecranon fractures and is a versatile implant which can be used in all types of olecranon fractures with minimal complication rate.
Authors and Affiliations
Dr. Shambhu Prasad
Keywords
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