EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YINQudong ¹ , GUSanjun ¹ , LIUJun ¹ ,  WUYongwei ¹ , LUYao ¹ , MAYunhong ¹ , SHENGYouyin ²

1. Department of Orthopaedics, Wuxi No.9 People's Hospital, Wuxi Jiangsu, 214062, P. R. China;
2. Department of Orthopaedics, Wuxi Rende Hospital;

Corresponding?author：

WUYongwei, Email: 13179680065@163.com

Keywords：

Olecranon fracture; Sharp teeth hook plate; Internal fixation

DOI：

10.7507/1002-1892.20160223

Video：

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Objective To investigate the effectiveness of sharp teeth hook plate by cutting for the treatment of olecranon fractures by comparison with Kirschner wire tension belt and locking plate. Methods Between January 2011 and April 2015, 32 cases of olecranon fractures were treated. Fracture was fixed with sharp teeth hook plate by cutting in 12 cases (trial group) and with Kirschner wire tension belt or locking plate in 20 cases (control group). There was no significant difference in gender, age, side and type of fracture, and time from injury to operation between 2 groups (P > 0.05). The healing time of fractures and complications were recorded. At 1 year after operation, the subjective function results were evaluated according to Disability of Arm, Shoulder, and Hand (DASH) score, and objective function results by Mayo Elbow Score (MEPS); visual analogue scale (VAS) was used for elbow joint pain, and range of motion of flexion and extension of elbow joint was measured. Results All incisions healed by first intention, with no vascular and nerve injuries. All patients were followed up 12-36 months with an average of 18 months. All fractures healed, and there was no significant difference in the healing time between 2 groups (P > 0.05). Loosening of Kirschner wire occurred in 2 cases of control group, but no loosening of internal fixation was observed in trial group after operation. There was no significant difference in the incidence of complications between 2 groups (P > 0.05). The DASH, MEPS, VAS score, and range of motion of flexion in trial group were superior to those in control group, showing significant differences (P < 0.05) at 1 year after operation. There was no significant difference in range of motion of extension between 2 groups (P > 0.05). Conclusion Sharp teeth hook plate for treatment of olecranon fractures overcomes the shortcomings that Kirschner wire tension is easy to slide and locking plate has a compression effect on triceps tendon, so it has good effectiveness.

Citation： YINQudong, GUSanjun, LIUJun, WUYongwei, LUYao, MAYunhong, SHENGYouyin. EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(9): 1094-1097. doi: 10.7507/1002-1892.20160223 Copy

1.	?宮先斌, 舒衡生, 王宏川, 等.星狀鋼板治療尺骨鷹嘴撕脫骨折療效觀察.中國修復重建外科雜志, 2014, 28(4):410-413.
2.	林宏衡, 蔡樺, 梁祖建.克氏針張力帶復位技術聯合鎖定鋼板固定治療尺骨鷹嘴MayoⅡA型骨折.中國骨科臨床與基礎研究雜志, 2015, 7(5):281-284.
3.	岳勇, 趙東風, 劉欣偉, 等.可吸收張力帶與鋼絲張力帶固定治療尺骨鷹嘴骨折療效的比較.中國骨與關節損傷雜志, 2015, 30(9):987-989.
4.	陳群, 駱順.克氏針張力帶及解剖鋼板治療尺骨鷹嘴骨折效果觀察.健康導報(醫學版), 2015, 20(9):26-27.
5.	王懷云, 郭虹, 徐建平, 等.預斷式帶孔克氏針張力帶治療Mayo Ⅱ型尺骨鷹嘴骨折.臨床軍醫雜志, 2016, 44(2):196-197.
6.	杜育海, 王曉寧.帶線錨釘聯合克氏針內固定治療尺骨鷹嘴粉碎性骨折的效果觀察.中國當代醫藥, 2016, 23(4):79-81.
7.	李春江.改良張力帶技術治療尺骨鷹嘴骨折.中國修復重建外科雜志, 2016, 30(3):392-393.
8.	滕林, 鐘剛, 肖聰, 等.重建鋼板聯合張力帶治療尺骨上段合并鷹嘴骨折.中國修復重建外科雜志, 2011, 25(1):17-20.
9.	霍建軍, 康雄, 趙巖, 等.可吸收線縫扎結合解剖鋼板內固定治療尺骨鷹嘴近中段粉碎性骨折.中國修復重建外科雜志, 2012, 26(10):1275-1277.
10.	馬恒, 王貴松, 毛賢智, 等.應用解剖板治療尺骨鷹嘴ColtonⅡC、ⅡD型骨折.包頭醫學院學報, 2016, 32(3):50-51.
11.	齊巖, 田軍, 姚宇, 等.解剖型鎖定加壓接骨板修復尺骨鷹嘴骨折:肘關節功能6個月隨訪評價.中國組織工程研究, 2015, 19(4):573-577.
12.	米博斌, 劉國輝, 楊述華, 等.尺骨鷹嘴解剖型鋼板治療粉碎性尺骨鷹嘴骨折.臨床骨科雜志, 2012, 15(6):654-655.
13.	張桂友, 林宇雨, 楊戈, 等.鷹嘴解剖形接骨板與張力帶治療尺骨鷹嘴骨折的對比研究.中國醫學創新, 2015, 12(2):13-15.
14.	盧小斌, 鮑濤, 李楊.解剖鋼板內固定治療尺骨鷹嘴骨折.臨床骨科雜志, 2012, 15(5):597.
15.	張世明, 李海豐, 黃軼剛.骨折分類與功能評定.北京:人民軍醫出版社, 2008:297-318.
16.	陳捷.解剖型鎖定鋼板治療尺骨鷹嘴粉碎性骨折的臨床分析.創傷外科雜志, 2014, 16(2):134-136.
17.	蔣勇, 焦寧, 馬建兵, 等.尺骨鷹嘴粉碎性骨折的治療策略.美中國際創傷雜志, 2012, 11(5):51-52.
18.	葛建華, 張德綢, 張忠杰.尺骨鷹嘴粉碎性骨折的治療進展.西南軍醫, 2012, 14(6):861-863.
19.	Oleg Y, Philipp L. Refixation of tibial bony avulsions of the posterior cruciate ligament with a hook plate. Oper Orthop Traumatol, 2010, 22(4):347-353.
20.	鄒祝藝, 徐劍鋒, 李金生, 等.鷹嘴鉤鋼板在治療尺骨鷹嘴骨折中的可行性研究.中國醫藥科學, 2016, 6(4):160-162.

1. ?宮先斌, 舒衡生, 王宏川, 等.星狀鋼板治療尺骨鷹嘴撕脫骨折療效觀察.中國修復重建外科雜志, 2014, 28(4):410-413.
2. 林宏衡, 蔡樺, 梁祖建.克氏針張力帶復位技術聯合鎖定鋼板固定治療尺骨鷹嘴MayoⅡA型骨折.中國骨科臨床與基礎研究雜志, 2015, 7(5):281-284.
3. 岳勇, 趙東風, 劉欣偉, 等.可吸收張力帶與鋼絲張力帶固定治療尺骨鷹嘴骨折療效的比較.中國骨與關節損傷雜志, 2015, 30(9):987-989.
4. 陳群, 駱順.克氏針張力帶及解剖鋼板治療尺骨鷹嘴骨折效果觀察.健康導報(醫學版), 2015, 20(9):26-27.
5. 王懷云, 郭虹, 徐建平, 等.預斷式帶孔克氏針張力帶治療Mayo Ⅱ型尺骨鷹嘴骨折.臨床軍醫雜志, 2016, 44(2):196-197.
6. 杜育海, 王曉寧.帶線錨釘聯合克氏針內固定治療尺骨鷹嘴粉碎性骨折的效果觀察.中國當代醫藥, 2016, 23(4):79-81.
7. 李春江.改良張力帶技術治療尺骨鷹嘴骨折.中國修復重建外科雜志, 2016, 30(3):392-393.
8. 滕林, 鐘剛, 肖聰, 等.重建鋼板聯合張力帶治療尺骨上段合并鷹嘴骨折.中國修復重建外科雜志, 2011, 25(1):17-20.
9. 霍建軍, 康雄, 趙巖, 等.可吸收線縫扎結合解剖鋼板內固定治療尺骨鷹嘴近中段粉碎性骨折.中國修復重建外科雜志, 2012, 26(10):1275-1277.
10. 馬恒, 王貴松, 毛賢智, 等.應用解剖板治療尺骨鷹嘴ColtonⅡC、ⅡD型骨折.包頭醫學院學報, 2016, 32(3):50-51.
11. 齊巖, 田軍, 姚宇, 等.解剖型鎖定加壓接骨板修復尺骨鷹嘴骨折:肘關節功能6個月隨訪評價.中國組織工程研究, 2015, 19(4):573-577.
12. 米博斌, 劉國輝, 楊述華, 等.尺骨鷹嘴解剖型鋼板治療粉碎性尺骨鷹嘴骨折.臨床骨科雜志, 2012, 15(6):654-655.
13. 張桂友, 林宇雨, 楊戈, 等.鷹嘴解剖形接骨板與張力帶治療尺骨鷹嘴骨折的對比研究.中國醫學創新, 2015, 12(2):13-15.
14. 盧小斌, 鮑濤, 李楊.解剖鋼板內固定治療尺骨鷹嘴骨折.臨床骨科雜志, 2012, 15(5):597.
15. 張世明, 李海豐, 黃軼剛.骨折分類與功能評定.北京:人民軍醫出版社, 2008:297-318.
16. 陳捷.解剖型鎖定鋼板治療尺骨鷹嘴粉碎性骨折的臨床分析.創傷外科雜志, 2014, 16(2):134-136.
17. 蔣勇, 焦寧, 馬建兵, 等.尺骨鷹嘴粉碎性骨折的治療策略.美中國際創傷雜志, 2012, 11(5):51-52.
18. 葛建華, 張德綢, 張忠杰.尺骨鷹嘴粉碎性骨折的治療進展.西南軍醫, 2012, 14(6):861-863.
19. Oleg Y, Philipp L. Refixation of tibial bony avulsions of the posterior cruciate ligament with a hook plate. Oper Orthop Traumatol, 2010, 22(4):347-353.
20. 鄒祝藝, 徐劍鋒, 李金生, 等.鷹嘴鉤鋼板在治療尺骨鷹嘴骨折中的可行性研究.中國醫藥科學, 2016, 6(4):160-162.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF SHARP TEETH HOOK PLATE FOR TREATMENT OF OLECRANON FRACTURES

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