Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Elbow
Abstract number: 26216
OLECRANON FRACTURES IN CHILDREN
Stephanie ARBES, Patrick PLATZER, Manfred GREITBAUER, Vilmos VéCSEI
Department of Traumatology - Vienna Medical School, Vienna (AUSTRIA)
Background: Fractures of the olecranon are usually described as uncommon in
children and often associated with other elbow injuries. Aim: In this study clinical
results in open reduction and fixation either with screws, plates or with Kirschner
wires and absorbable tension-band suture or tension-band wire are compared.
Material and Methods: Fractures were classified according to Bracq. The treatment
consisted of open reduction and internal fixation in 15 cases, 11 males and 4 females
with a mean of 7.6 years of age. Implant removal was performed after the mean of
3.5 months (range from 1.7 to 12 months). 12 patients underwent stabilization with
K-wires and tension band wires or tension band sutures, one patient with isolated Kwires,
one patient with screw fixation and one patient with plate fixation. Mean
follow-up was 14 months (range from 7 to 48 months). At follow-up clinical and
radiological assessments were performed according to the Murphy score.
ResultsFracture classification according to Bracq showed 40% type C, 26.7% type D,
13.3% type A or E and 6.7% type B. At follow-up, 7 patients showed excellent
results, 3 patients good results, 3 patients fair results and two patients poor results.
None of the patients had developed non-union. Three patients had an extension
deficit of 5°, 2 patients with tension band wires a nd one patient with plate
fixation.ConclusionThe treatment of displaced olecranon fractures in children
achieves satisfactory results from a clinical standpoint, whereas radiologic results are
usually less satisfying.
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