Qi Hongfei, Li Zhong, Ma Teng, Du Bing, Ren Cheng, Xu Yibo, Huang Qiang, Zhang Kun, Lu Yao, Li Ming
Department of Orthopaedics and Trauma, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an, China.
Front Surg. 2023 Jan 16;9:1019767. doi: 10.3389/fsurg.2022.1019767. eCollection 2022.
Tension band wiring and proximal ulnar plate fixation are commonly used fixation methods for olecranon fractures. However, they may not be suitable for repairing proximal olecranon avulsion fractures. In this study, we present a novel fixation technique for the treatment of proximal avulsion fractures, which is a T-shaped plate combined with a wire.
Between March 2016 and May 2020, surgery was performed on 16 patients with proximal olecranon avulsion fractures by using a T-shaped plate combined with a wire fixation at our hospital. The parameters followed were fracture healing time, elbow range of motion (ROM), related functional scores (the Mayo score and the DASH score), and complications related to internal fixation.
The average follow-up period was 17 (14-21) months and fractures had healed in all patients included in the study, with an average fracture union of 9.25 (8-12) weeks. No patient reported fixation failure, serious infection, or revision surgery. The average ROM of the elbow joint was 123° (120-135°). The Mayo score was excellent in 11 patients and good in 5. The average DASH score was 17.75 (12-24).
Olecranon avulsion fractures were fixed with a T-shaped steel plate combined with a steel wire, which can be used for early functional exercise and for achieving good final functional results. This method can provide stable fixation, especially in elderly patients with osteoporosis.
张力带钢丝固定和尺骨近端钢板固定是治疗鹰嘴骨折常用的固定方法。然而，它们可能不适用于修复尺骨近端撕脱骨折。在本研究中，我们提出一种治疗近端撕脱骨折的新型固定技术，即T形钢板联合钢丝固定。
2016年3月至2020年5月间，我院对16例尺骨近端撕脱骨折患者采用T形钢板联合钢丝固定进行手术治疗。观察指标包括骨折愈合时间、肘关节活动范围（ROM）、相关功能评分（Mayo评分和DASH评分）以及内固定相关并发症。
平均随访时间为17（14 - 21）个月，纳入研究的所有患者骨折均愈合，平均骨折愈合时间为9.25（8 - 12）周。无患者出现固定失败、严重感染或翻修手术情况。肘关节平均活动范围为123°（120 - 135°）。11例患者Mayo评分为优，5例为良。平均DASH评分为17.75（12 - 24）。
采用T形钢板联合钢丝固定治疗鹰嘴撕脱骨折，可早期进行功能锻炼并获得良好的最终功能结果。该方法能提供稳定的固定，尤其适用于骨质疏松的老年患者。
