![]() Prospective, randomised controlled trials of matched patients and fracture patterns comparing operative techniques are needed as there is a lack of level I/II evidence to support the use of one implant over another. Non-operative management in the elderly comorbid patient remains controversial. The Mayo classification provides a treatment algorithm and prognosis based on fracture type 5, 13, 15. There may be an emerging role for intramedullary nail fixation. Currently, there exits a lack of studies comparing these treatments. Displaced complex injuries necessitate locking plate fixation. Non-displaced fractures can be treated conservatively. These should be managed with tension band wire constructs. ![]() 10% of all upper limb fractures involve the olecranon, and most are simple two-part injuries. Our novel illustrations aim to educate the reader, and our treatment algorithm provides guidance for management. An additional focus was placed on the evidence base for and surgical outcomes of tension band wiring for common two-part fractures. A literature review of peer-reviewed publications in international orthopaedic journals detailing olecranon fracture treatment was conducted. We aim to review the available literature to guide the orthopaedic surgeon on the management of these fractures. The Mayo classification system of olecranon fractures are based on the displacement of the olecranon, comminution and elbow stability. Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. Currently, there are few studies comparing fracture treatments. Pediatric supracondylar fractures are one of the most common traumatic fractures see in children and most commonly occur in children 5-7 years of age, usually from a fall on an outstretched hand. They are usually managed surgically with open reduction and either tension band wiring or plate fixation.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |