Omega Plate Fixation of Comminuted Olecranon Fractures: Technique and Case Series.

Fixation of olecranon fractures, especially those with minimal proximal bone and those that present with significant comminution, can be technically challenging. Current open reduction and internal fixation (ORIF) methods, such as tension band wire (TBW) constructs, plate fixation (PF), and intramedullary screws (IMSF), have demonstrated high rates of reoperation and symptomatic implants. We present the omega plate technique, which utilizes a mini-fragment plate passed under the triceps tendon insertion, allowing maximal implant surface area contact with small, proximal olecranon fracture fragments. The mini-fragment plate is not placed on the dorsal subcutaneous border of the ulna, which allows it to capture medial and lateral fragments of cortical comminution and may contribute to less soft tissue irritation.

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Déclaration de conflit d'intérêts

Conflicts of Interest and Source of Funding: B.J.Y. is a board or committee member for the American Academy of Orthopaedic Surgeons and the Mid-America Orthopaedic Association; and is a paid consultant for DePuy and Stryker. J.T. is a paid consultant for Stryker. J.D.B. is a paid consultant for and receives royalties from Stryker. For the remaining authors none were declared.