CLINICAL OBSERVATION OF STELLATED PLATE FIXATION OF OLECRANAL AVULSION FRACTURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

GONGXianbin ^1,2 ,  SHUHengsheng ² , WANGHongchuan ² , ZHAOJiaguo ² , LIWeizhe ² , SHIBowen ² , LIANGYongjian ^1,3

1. Graduate College of Tianjin Medical University, Tianjin, 300070, P. R. China;
2. Department of Traumatic Orthopedics, Tianjin Hospital;
3. Logistics University of PAPF;

Corresponding?author：

SHUHengsheng, Email: drhsshu@hotmail.com

Keywords：

Olecranal avulsion fracture; Stellated plate; Internal fixation

DOI：

10.7507/1002-1892.20140093

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Objective To evaluate the clinical outcome of stellated plate fixation of olecranal avulsion fracture. Methods A retrospective analysis was made on the clinical data from 24 cases of olecranal avulsion fracture treated with stellated plate between April 2007 and April 2012. There were 13 males and 11 females, with an average age of 32 years (range, 18-65 years). The causes of injury included falling injury (14 cases), sports injury (7 cases), and machine injury (3 cases). The left elbow was involved in 4 cases and the right side in 20 cases. The average disease duration was 11 hours (range, 3 hours-2 days). According to Colton's classification criteria, all cases were classified as type Ⅱ A (avulsion fracture). One case had supracondylar humeral avulsion fracture, and 15 cases had triceps tendon tears. Results All the cases obtained healing of incision by first intention, without infection and ulnar nerve injury. The average follow-up period was 24 months (range, 18-48 months). All fractures healed after 6-10 weeks (mean, 7 weeks). According to Morrey's elbow performance score, the results were excellent in 17 cases, good in 4 cases, and fair in 3 cases, with an excellent and good rate of 87.5%. There was no significant difference in the elbow range of motion (ROM) between the injured side (136.0±16.2)° and normal side (143.1±2.9)° (t=2.007, P=0.052). The ROM of normal elbow was significantly larger than that of the injured side in 3 patients who achieved fair results (t=2.820, P=0.048), but no significant difference was found in patients who achieved excellent and good results (P>0.05). Conclusion The stellated plate has good clinical outcome in treatment of olecranal avulsion fracture, which has advantages of simple operation, firm fixation, and early functional exercise.

Citation： GONGXianbin, SHUHengsheng, WANGHongchuan, ZHAOJiaguo, LIWeizhe, SHIBowen, LIANGYongjian. CLINICAL OBSERVATION OF STELLATED PLATE FIXATION OF OLECRANAL AVULSION FRACTURE. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 410-413. doi: 10.7507/1002-1892.20140093 Copy

1.	Morrey BF. 骨科標準手術技術叢書——肘. 屠冠軍, 譯. 沈陽:遼寧科學技術出版社, 2005:193-204.
2.	Viegas SF. Avulsion of the triceps tendon. Orthop Rev, 1990, 19(6):533-536.
3.	Colton CL. Fractures of the olecranon in adults:classification and management. Injury, 1973, 5(2):121-129.
4.	Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res, 1987, (216):109-119.
5.	Chan AP, Lo CK, Lam HY, et al. Unusual traumatic triceps tendon avulsion rupture:a word of caution. Hong Kong Med J, 2009, 15(4):294-296.
6.	Stannard JP, Bucknell AL. Rupture of the triceps tendon associated with steroid injections. Am J Sports Med, 1993, 21(3):482-485.
7.	陳慶泉, 王萬明, 張志宏, 等. 撕脫性骨折的可吸收內固定. 福州總醫院學報, 2006, 13(1):34-35.
8.	陳志生. 屈肘位固定治療尺骨鷹嘴骨折力學分析. 中醫正骨, 1996, 8(1):9-10.
9.	王亦璁. 骨與關節損傷. 4版. 北京:人民衛生出版社, 2011:866-873.
10.	劉巍, 尹蕓生, 蘇鐘毅. 尺骨鷹嘴骨折合并肘關節脫位的治療. 中國骨與關節損傷雜志, 2005, 20(4):258-259.
11.	Helm RH, Hornby R, Miller SW. The complications of surgical treatment of displaced fractures of the olecranon. Injury, 1987, 18(1):48-50.
12.	Rajasekhar C, Kakarlapudi TK, Bhamra MS. Avulsion of the triceps tendon. Emerg Med J, 2002, 19(3):271-272.
13.	Pina A, Garcia I, Sabater M. Traumatic avulsion of the triceps brachii. J Orthop Trauma, 2002, 16(4):273-276.
14.	傅國海, 吳旭東. 縫合錨釘治療尺骨鷹嘴撕脫性骨折15例. 中醫正骨, 2011, 23(9):691-692.
15.	俞海明, 姚學東, 林金礦, 等. AO齒狀墊圈及螺釘置入固定后交叉韌帶脛骨小塊或粉碎撕脫骨折11例. 中國組織工程研究與臨床康復, 2008, 12(44):8709-8712.
16.	石博文, 葛振新, 王奔, 等. 切開復位星狀鋼板內固定術治療青少年髂前上棘撕脫性骨折的療效觀察. 山東醫藥, 2013, 53(3):84-85.
17.	劉憲民, 劉松波, 張志富, 等. 膝關節后內側結構損傷早期修復療效觀察. 中國矯形外科雜志, 2009, 17(14):1058-1061.
18.	Burks JB, Comerford JS, Buk A. Additional uses of the DePuy TiMAX Spider Plate. J Am Podiatr Med Assoc, 2003, 93(5):406-407.
19.	Fabbriciani C, Mulas PD, Ziranu F, et al. Mechanical analysis of fixation methods for anterior cruciate ligament reconstruction with hamstring tendon graft, an experimental study in sheep knees. Knee, 2005, 12(2):135-138.

1. Morrey BF. 骨科標準手術技術叢書——肘. 屠冠軍, 譯. 沈陽:遼寧科學技術出版社, 2005:193-204.
2. Viegas SF. Avulsion of the triceps tendon. Orthop Rev, 1990, 19(6):533-536.
3. Colton CL. Fractures of the olecranon in adults:classification and management. Injury, 1973, 5(2):121-129.
4. Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res, 1987, (216):109-119.
5. Chan AP, Lo CK, Lam HY, et al. Unusual traumatic triceps tendon avulsion rupture:a word of caution. Hong Kong Med J, 2009, 15(4):294-296.
6. Stannard JP, Bucknell AL. Rupture of the triceps tendon associated with steroid injections. Am J Sports Med, 1993, 21(3):482-485.
7. 陳慶泉, 王萬明, 張志宏, 等. 撕脫性骨折的可吸收內固定. 福州總醫院學報, 2006, 13(1):34-35.
8. 陳志生. 屈肘位固定治療尺骨鷹嘴骨折力學分析. 中醫正骨, 1996, 8(1):9-10.
9. 王亦璁. 骨與關節損傷. 4版. 北京:人民衛生出版社, 2011:866-873.
10. 劉巍, 尹蕓生, 蘇鐘毅. 尺骨鷹嘴骨折合并肘關節脫位的治療. 中國骨與關節損傷雜志, 2005, 20(4):258-259.
11. Helm RH, Hornby R, Miller SW. The complications of surgical treatment of displaced fractures of the olecranon. Injury, 1987, 18(1):48-50.
12. Rajasekhar C, Kakarlapudi TK, Bhamra MS. Avulsion of the triceps tendon. Emerg Med J, 2002, 19(3):271-272.
13. Pina A, Garcia I, Sabater M. Traumatic avulsion of the triceps brachii. J Orthop Trauma, 2002, 16(4):273-276.
14. 傅國海, 吳旭東. 縫合錨釘治療尺骨鷹嘴撕脫性骨折15例. 中醫正骨, 2011, 23(9):691-692.
15. 俞海明, 姚學東, 林金礦, 等. AO齒狀墊圈及螺釘置入固定后交叉韌帶脛骨小塊或粉碎撕脫骨折11例. 中國組織工程研究與臨床康復, 2008, 12(44):8709-8712.
16. 石博文, 葛振新, 王奔, 等. 切開復位星狀鋼板內固定術治療青少年髂前上棘撕脫性骨折的療效觀察. 山東醫藥, 2013, 53(3):84-85.
17. 劉憲民, 劉松波, 張志富, 等. 膝關節后內側結構損傷早期修復療效觀察. 中國矯形外科雜志, 2009, 17(14):1058-1061.
18. Burks JB, Comerford JS, Buk A. Additional uses of the DePuy TiMAX Spider Plate. J Am Podiatr Med Assoc, 2003, 93(5):406-407.
19. Fabbriciani C, Mulas PD, Ziranu F, et al. Mechanical analysis of fixation methods for anterior cruciate ligament reconstruction with hamstring tendon graft, an experimental study in sheep knees. Knee, 2005, 12(2):135-138.

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CLINICAL OBSERVATION OF STELLATED PLATE FIXATION OF OLECRANAL AVULSION FRACTURE

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