Posterior olecranon plating

Biomechanical and clinical evaluation of a new operative technique

Nirmal C. Tejwani, Ian R. Garnham, Philip R Wolinsky, Frederick J. Kummer, Kenneth J. Koval

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

The purpose of this investigation was to compare the biomechanical analysis of a new plating technique for olecranon fractures to tension band wiring, and review early clinical results. Six matched pairs of cadaveric ulnae were used for the biomechanical analysis. A transverse osteotomy of the mid part of the olecranon was made. One ulna of each pair was stabilized using a tension band and the other with a posterior hook plate. The ulnae were mounted and loaded, and displacement at the osteotomy site recorded. Twenty patients treated with this new technique (14 fractures and 6 osteotomies) were reviewed at one year (range: 8 to 18 months) for infection, union rate, hardware related complaints, and removal. Statistical analysis showed significantly less displacement occurred at the osteotomy site in the plating group. Clinically, all patients had fracture union, and there were no hardware related problems. Posterior plating with this technique achieves greater stability compared to tension band wiring. Early clinical results indicate a low level of hardware related complications.

Original languageEnglish (US)
Pages (from-to)27-31
Number of pages5
JournalBulletin: Hospital for Joint Diseases
Volume61
Issue number1-2
StatePublished - 2002
Externally publishedYes

Fingerprint

Olecranon Process
Osteotomy
Plating
Ulna
Electric wiring
Hardware
Hooks
Statistical methods
Infection

ASJC Scopus subject areas

  • Rheumatology
  • Surgery
  • Bioengineering

Cite this

Posterior olecranon plating : Biomechanical and clinical evaluation of a new operative technique. / Tejwani, Nirmal C.; Garnham, Ian R.; Wolinsky, Philip R; Kummer, Frederick J.; Koval, Kenneth J.

In: Bulletin: Hospital for Joint Diseases, Vol. 61, No. 1-2, 2002, p. 27-31.

Research output: Contribution to journalArticle

Tejwani, Nirmal C. ; Garnham, Ian R. ; Wolinsky, Philip R ; Kummer, Frederick J. ; Koval, Kenneth J. / Posterior olecranon plating : Biomechanical and clinical evaluation of a new operative technique. In: Bulletin: Hospital for Joint Diseases. 2002 ; Vol. 61, No. 1-2. pp. 27-31.
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