Olekranonfrakturen View Full Text


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Article Info

DATE

2004-09

AUTHORS

G. Zimmermann, C. Wagner, A. Wentzensen

ABSTRACT

Fractures of the olecranon are frequent injuries with good prognosis when managed correctly by osteosynthesis. Whenever possible early functional therapy should be initiated. Tension band fixation for simple transverse fractures or plating for comminuted fractures are appropriate. Fragment excision and refixation of the triceps muscle is not only salvage surgery for unreconstructable fractures, but also achieves good clinical results. Conservative treatment is also possible for fractures without fragment dislocation. If the condition of the patient does not allow any surgery, even dislocated fractures can be treated without any osteosynthesis with a tolerable loss of function. Especially older people do not experience significant loss in quality of life.The aim of operative treatment is immediate postoperative functional physiotherapy. Depending on the type of fracture and osteosynthesis, 70–96% of patients have a good or excellent outcome. Removal of the implants is frequently necessary because of tissue irritation.Despite good prognosis for this fracture, newer biomechanical research seems to show some potential for better implants, but it remains uncertain whether the 96% good and excellent results related to the clinical outcome can be improved. More... »

PAGES

225-231

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-004-0950-1

DOI

http://dx.doi.org/10.1007/s10039-004-0950-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012585941


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