Augmented intramedullary screw tension band construct for olecranon fracture reduction and fixation: a review of literature and surgical technique.
Olecranon fracture
intramedullary
lag screw
tension band wiring
trauma
upper extremity
Journal
JSES international
ISSN: 2666-6383
Titre abrégé: JSES Int
Pays: United States
ID NLM: 101763461
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
entrez:
17
9
2020
pubmed:
18
9
2020
medline:
18
9
2020
Statut:
epublish
Résumé
Olecranon fractures, which make up 10% of upper extremity fractures in adults, often require anatomic reduction and stable internal fixation. Successful olecranon fracture osteosynthesis has classically been achieved via tension band wiring or plate fixation. This article reviews the indications, outcomes, and a surgical technique as an alternative construct for tension band wiring of olecranon fractures. The technique involves placement of an ulnar intramedullary partially threaded screw that is used as a proximal point of attachment for tension band wiring of the olecranon. Although infrequently used by orthopedic surgeons, this construct has been shown to be biomechanically and clinically superior to classic Kirschner wire tension banding techniques. This review is intended to familiarize surgeons with a surgical technique that can be applied to a variety of proximal ulna fractures.
Identifiants
pubmed: 32939470
doi: 10.1016/j.jseint.2020.04.005
pii: S2666-6383(20)30057-8
pmc: PMC7479051
doi:
Types de publication
Journal Article
Langues
eng
Pagination
470-477Informations de copyright
© 2020 The Author(s).
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