Die Doppelplattenosteosynthese der proximalen Ulna View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-08

AUTHORS

C. Ries, K. Wegmann, R.H. Meffert, L.P. Müller, K.J. Burkhart

ABSTRACT

OBJECTIVE: Stable osteosynthesis during early postoperative functional treatment, particularly in patients with osteoporosis. INDICATIONS: Metaphyseal fractures, small proximal fragments or avulsion fracture of the triceps tendon, osteotomy of the olecranon, and pseudarthrosis of the olecranon or proximal ulna. CONTRAINDICATIONS: Skin infection, severe soft tissue lesions. SURGICAL TECHNIQUE: Dorsal approach to the olecranon. Open reduction and internal fixation by two side-mounted angular locking compression (double) plates. POSTOPERATIVE MANAGEMENT: Early functional treatment. Full load-bearing after 6-12 weeks postoperatively. RESULTS: A total of 14 patients were treated with double-plate osteosynthesis between 2011 and 2012. Clinical data were analysed retrospectively. The average follow-up was 11.7 months (range, 4-21 months). The mean flexion-extension radius was 123° (100°-140°), the pro-supination radius 166° (160°-170°). Using the Mayo Elbow Performance Score, eight patients had excellent and six good results. The mean Quick-DASH score was 15 (0-50). More... »

PAGES

342-356

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00064-014-0296-1

DOI

http://dx.doi.org/10.1007/s00064-014-0296-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006092854

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25900827


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42 schema:description OBJECTIVE: Stable osteosynthesis during early postoperative functional treatment, particularly in patients with osteoporosis. INDICATIONS: Metaphyseal fractures, small proximal fragments or avulsion fracture of the triceps tendon, osteotomy of the olecranon, and pseudarthrosis of the olecranon or proximal ulna. CONTRAINDICATIONS: Skin infection, severe soft tissue lesions. SURGICAL TECHNIQUE: Dorsal approach to the olecranon. Open reduction and internal fixation by two side-mounted angular locking compression (double) plates. POSTOPERATIVE MANAGEMENT: Early functional treatment. Full load-bearing after 6-12 weeks postoperatively. RESULTS: A total of 14 patients were treated with double-plate osteosynthesis between 2011 and 2012. Clinical data were analysed retrospectively. The average follow-up was 11.7 months (range, 4-21 months). The mean flexion-extension radius was 123° (100°-140°), the pro-supination radius 166° (160°-170°). Using the Mayo Elbow Performance Score, eight patients had excellent and six good results. The mean Quick-DASH score was 15 (0-50).
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