Arch Orthop Trauma Surg (2017) 137:1173–1179 DOI 10.1007/s00402-017-2735-6 ORTHOPAEDIC SURGERY Comminuted olecranon fractures: biomechanical testing of locked versus minifragment non-locked plate ﬁxation 1 2 2 1 • • • • David S. Wellman Scott M. Tucker Josh R. Baxter Nadine C. Pardee 1 1 1 1 • • • Lionel E. Lazaro Christopher S. Smith Dean G. Lorich David L. Helfet Received: 22 July 2016 / Published online: 20 June 2017 Springer-Verlag GmbH Germany 2017 Abstract gapping and rotation was quantiﬁed following 100 cycles Introduction Open reduction and internal ﬁxation has long at 10 N and again following 100 cycles at 500 N. been accepted as optimal treatment for displaced olecranon Results No signiﬁcant differences were detected between fractures based on poor results seen with conservative the 2.7 and 3.5 mm plates in fracture rotation or gapping management. With the presence of comminution, tension- following loads at 10 N (0.5 and 0.7; 0.6 and 1.2 mm; band wiring constructs are contraindicated due to tendency respectively; p[ 0.05) or 500 N (2.3 and 1.6; 3.8 and to compress through fragments, thereby shortening the 3.1 mm; respectively; p [ 0.05) loading. Fragment rota- articular segment. Therefore, plate ﬁxation is typically tion
Archives of Orthopaedic and Trauma Surgery – Springer Journals
Published: Jun 20, 2017
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