Horne J G, Tanzer T L
J Trauma. 1981 Jun;21(6):469-72.
Olecranon fractures in the adult are a common upper extremity injury. There is still no universally accepted classification of these fractures and no uniformity of treatment. Results stated vary considerably, and support can be found in the literature for any of several forms of operative treatment. A review of the literature on olecranon fractures is presented. A system of classification of these fractures based on lateral roentgenograms is proposed; Type I, IIa, IIb, and III (depending on location in the olecranon). An assessment of the results of treatment of 100 patients with such fractures treated by surgical methods is presented. Open reduction and internal fixation with tension band, screws, plate and screws, or band, plate, and screws can be relied upon for satisfactory end results. Type I fractures can be treated by anatomic reduction and tension band wiring; all Type II fractures by tension band technique; Type III fractures with a plate and screws.
成人尺骨鹰嘴骨折是一种常见的上肢损伤。目前对于这些骨折仍没有普遍接受的分类方法，治疗也缺乏一致性。所报道的结果差异很大，文献中能找到多种手术治疗方式的支持依据。本文对尺骨鹰嘴骨折的文献进行了综述。提出了一种基于侧位X线片的骨折分类系统；I型、IIa型、IIb型和III型（取决于在尺骨鹰嘴中的位置）。本文还对100例采用手术方法治疗此类骨折的患者的治疗结果进行了评估。采用张力带、螺钉、钢板螺钉或张力带、钢板和螺钉进行切开复位内固定，可获得满意的最终结果。I型骨折可采用解剖复位和张力带钢丝固定；所有II型骨折采用张力带技术；III型骨折采用钢板螺钉固定。
