Complications and mortality associated with olecranon fractures in the elderly: a retrospective cohort comparison from a large level one trauma centre.
Olecranon fracture
elderly
fracture fixation
tension band wire
Journal
Shoulder & elbow
ISSN: 1758-5732
Titre abrégé: Shoulder Elbow
Pays: United States
ID NLM: 101506589
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
07
12
2020
revised:
26
01
2021
accepted:
26
01
2021
entrez:
10
3
2022
pubmed:
11
3
2022
medline:
11
3
2022
Statut:
ppublish
Résumé
Olecranon fractures in the elderly have an increasing incidence. This retrospective study aims to identify the complications and survivorship of these patients. All patients >70 years old treated for an olecranon fracture at our institution were identified between 2007 and 2019. Loss of reduction and/or metalwork loosening was recorded. Also noted were wound healing problems, deep/superficial infections, and any subsequent treatment including return to surgery and/or removal of metalwork. From a total of 177 cases, 28 presented with concomitant fractures (16%), half of which were hip fractures. The largest treatment group underwent tension band wiring ( Olecranon fractures in the elderly have higher than expected 1 year mortality rates. Operative management results in high complication rates, often requiring return to surgery for metalwork problems. Significant consideration of treatment options is required in this cohort.
Sections du résumé
Background
UNASSIGNED
Olecranon fractures in the elderly have an increasing incidence. This retrospective study aims to identify the complications and survivorship of these patients.
Methods
UNASSIGNED
All patients >70 years old treated for an olecranon fracture at our institution were identified between 2007 and 2019. Loss of reduction and/or metalwork loosening was recorded. Also noted were wound healing problems, deep/superficial infections, and any subsequent treatment including return to surgery and/or removal of metalwork.
Results
UNASSIGNED
From a total of 177 cases, 28 presented with concomitant fractures (16%), half of which were hip fractures. The largest treatment group underwent tension band wiring (
Discussion
UNASSIGNED
Olecranon fractures in the elderly have higher than expected 1 year mortality rates. Operative management results in high complication rates, often requiring return to surgery for metalwork problems. Significant consideration of treatment options is required in this cohort.
Identifiants
pubmed: 35265187
doi: 10.1177/1758573221994860
pii: 10.1177_1758573221994860
pmc: PMC8899326
doi:
Types de publication
Journal Article
Langues
eng
Pagination
200-210Informations de copyright
© 2021 The British Elbow & Shoulder Society.
Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: PC has a contract for research with the Leeds Biomedical Research Centre (BRC).
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