De Maio Fernando, Gorgolini Giulio, Caterini Alessandro, Luciano Claudia, Covino Dario, Farsetti Pasquale
Section of Orthopaedics and Traumatology, Department of Clinical Science and Traslational Medicine, University of Rome "Tor Vergata", Rome, Italy.
Front Pediatr. 2022 Nov 18;10:1046243. doi: 10.3389/fped.2022.1046243. eCollection 2022.
Literature over the last 20 years provides evidence for a surgical treatment of displaced olecranon fractures in children, this is usually obtained with commonly proposed methods, although there is no general agreement about the best recommended technique.
Identifying the best surgical technique in displaced olecranon fractures in children and the role of associated fractures in the prognosis of these lesions, by analyzing the most relevant studies on this topic.
A literature search was performed in MEDLINE database and Scopus database. Articles reporting clinical outcomes of pediatric patients affected by olecranon fractures treated surgically were identified.
The initial search produced 111 studies, with 8 fulfilling the eligibility criteria of our study. Selected articles (2002-2022) included 122 patients overall.
Displaced olecranon fractures, occurring during skeletal growth and surgically treated, generally have good results, although we are unable to recommend the best surgical treatment based on our review. In most cases, they are intra-articular fractures; thus, the overall goal is to get an anatomic reduction that in some cases cannot be obtained by percutaneous techniques. Tension band suture is the preferred device, although it is not recommended in adolescence for the high risk of fixation failure. Associated lesions may affect results.
过去20年的文献为儿童移位性鹰嘴骨折的手术治疗提供了证据，这通常通过常用的方法来实现，尽管对于最佳推荐技术尚无普遍共识。
通过分析该主题最相关的研究，确定儿童移位性鹰嘴骨折的最佳手术技术以及相关骨折在这些损伤预后中的作用。
在MEDLINE数据库和Scopus数据库中进行文献检索。确定报告接受手术治疗的鹰嘴骨折儿科患者临床结果的文章。
初步检索产生了111项研究，其中8项符合我们研究的纳入标准。所选文章（2002 - 2022年）共纳入122例患者。
在骨骼生长期间发生并接受手术治疗的移位性鹰嘴骨折，总体效果通常较好，尽管根据我们的综述无法推荐最佳手术治疗方法。在大多数情况下，它们是关节内骨折；因此，总体目标是实现解剖复位，而在某些情况下经皮技术无法实现这一点。张力带缝合是首选方法，尽管在青少年中由于固定失败风险高而不推荐使用。相关损伤可能影响结果。
