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Panacea Journal of Medical Sciences

Comparative study of different methods of olecranon fracture fixation

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Author Details: Kirtan Tankshali, Zulfikar Patel, Kaushal Patel, Akash Shah

Volume : 7

Issue : 2

Online ISSN : 2348-7682

Print ISSN : 2249-8176

Article First Page : 58

Article End Page : 61


Olecranon process is the proximal expansion of ulna bone which takes part in formation of elbow joint and is essential for elbow joint movements. Therefore, fractures of olecranon are to be treated by stable fixation and early mobilization. We have, in our study, tried to identify the best treatment option for the olecranon fracture. This is a prospective cohort study of 35 patients treated at Civil Hospital Ahmedabad for olecranon fracture between 1st January, 2015 to 31st December, 2015. Adult patients with traumatic closed isolated olecranon fractures were enrolled in our study. Post-operatively, all the patients were followed up to 6 months and their functional outcomes compared. Olecranon fractures are more common in elderly with male predilection. Post-operatively, range of movements ranged from full extension to full flexion in majority of patients but not in all. Complication like implant impingement, infection and restricted range of motion were noticed in our study. There was 100% union rate achieved at the end of 6 months. Treatment of choice for olecranon fracture depends on fracture type. Simple two-part transverse fracture is best treated with K-wiring and tension band wiring whereas oblique or comminuted fractures are best treated with olecranon plating.

: Olecranon, TBW, K-wire, CCS, Plating, ROM