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Treatment of Sagittal Split Olecranon Fractures Using Dorsal Plates Combined With Tension Band Wiring or Cerclage Wires

Kiyak, Görkem MD

Techniques in Shoulder & Elbow Surgery: September 2019 - Volume 20 - Issue 3 - p 75–79
doi: 10.1097/BTE.0000000000000173
Research Articles

We evaluated the results of olecranon fractures with an intra-articular sagittal plane fracture treated by dorsal plates in combination with tension band wiring or cerclage wires. We included patients with comminuted olecranon fractures with sagittal split treated with combination fixation. Postoperative functional assessment, Mayo Elbow Performance Score (MEPS) and complications were recorded. The mean age of patients was 52 years (SD±16). There were 7 female and 5 male patients. There were 2 1B, 7 2B, and 3 3B fractures according to Mayo classification. All patient’s fractures healed satisfactorily. There was one minor skin breakdown, which we managed conservatively. The most common problem was symptomatic hardware, which led us to implant removal surgery (33%). Mean loss of motion for the elbow and forearm were as follows: extension 7.5 degrees (SD±5.8 degrees), flexion 9.5 degrees (SD±3.9 degrees), pronation 4.5 degrees (SD±3.3 degrees), and supination 5 degrees (SD±3.7 degrees). The mean MEPS score was 93.7 (SD±7.7). We successfully treated these challenging fractures with our combination fixation technique in our case series.

Level of Evidence: Level IV—diagnostic case series.

Department of Orthopaedics and Traumatology, Academic Hospital, Istanbul, Turkey

Ethics approval and consent to participate: Approval from the General Clinical Directorate of our institution was obtained before starting the study.

The author declares no conflict of interest.

Reprints: Görkem Kiyak, MD, Department of Orthopaedics and Traumatology, Academic Hospital, Istanbul 34664, Turkey (e-mail:

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