TY - JOUR
T1 - Olecranon fractures
T2 - Factors influencing re-operation
AU - Snoddy, Mark Christopher
AU - Lang, Maximilian Frank
AU - An, Thomas J.
AU - Mitchell, Phillip Michael
AU - Grantham, William Jeffrey
AU - Hooe, Benjamin Scoot
AU - Kay, Harrison Ford
AU - Bhatia, Ritwik
AU - Thakore, Rachel V.
AU - Evans, Jason Michael
AU - Obremskey, William Todd
AU - Sethi, Manish Kumar
N1 - Funding Information:
Obremskey has previously consulted for Biometrics and done expert testimony in legal matters. The institution of WTO has received a grant from the Department of Defense. The remaining authors have no conflict of interests.
PY - 2014/8
Y1 - 2014/8
N2 - Purpose: We evaluated factors influencing re-operation in tension band and plating of isolated olecranon fractures. Methods: Four hundred eighty-nine patients with isolated olecranon fractures who underwent tension band (TB) or open reduction internal fixation (ORIF) from 2003 to 2013 were identified at an urban level 1 trauma centre. Medical records were reviewed for patient information and complications, including infection, nonunion, malunion, loss of function or hardware complication requiring an unplanned surgical intervention. Electronic radiographs of these patients were reviewed to identify Orthopaedic Trauma Association (OTA) fracture classification and patients who underwent TB or ORIF. Results: One hundred seventy-seven patients met inclusion criteria of isolated olecranon fractures. TB was used for fixation in 43 patients and ORIF in 134. No statistical significance was found when comparing complication rates in open versus closed olecranon fractures. In a multivariate analysis, the key factor in outcome was method of fixation. Overall, there were higher rates of infection and hardware removal in the TB compared with the ORIF group. Conclusions: Our results demonstrate that the dominant factor driving re-operation in isolated olecranon fractures is type of fixation. When controlling for all variables, there is an increased chance of re-operation in patients with TB fixation.
AB - Purpose: We evaluated factors influencing re-operation in tension band and plating of isolated olecranon fractures. Methods: Four hundred eighty-nine patients with isolated olecranon fractures who underwent tension band (TB) or open reduction internal fixation (ORIF) from 2003 to 2013 were identified at an urban level 1 trauma centre. Medical records were reviewed for patient information and complications, including infection, nonunion, malunion, loss of function or hardware complication requiring an unplanned surgical intervention. Electronic radiographs of these patients were reviewed to identify Orthopaedic Trauma Association (OTA) fracture classification and patients who underwent TB or ORIF. Results: One hundred seventy-seven patients met inclusion criteria of isolated olecranon fractures. TB was used for fixation in 43 patients and ORIF in 134. No statistical significance was found when comparing complication rates in open versus closed olecranon fractures. In a multivariate analysis, the key factor in outcome was method of fixation. Overall, there were higher rates of infection and hardware removal in the TB compared with the ORIF group. Conclusions: Our results demonstrate that the dominant factor driving re-operation in isolated olecranon fractures is type of fixation. When controlling for all variables, there is an increased chance of re-operation in patients with TB fixation.
KW - Fracture
KW - Hardware removal
KW - Olecranon
KW - Plate fixation
KW - Tension band
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U2 - 10.1007/s00264-014-2378-y
DO - 10.1007/s00264-014-2378-y
M3 - Article
C2 - 24893946
AN - SCOPUS:84905915300
SN - 0341-2695
VL - 38
SP - 1711
EP - 1716
JO - International Orthopaedics
JF - International Orthopaedics
IS - 8
ER -