1 Because these are intraarticular fractures they require anatomic reduction and restoration of articular congruence to obtain a good clinical outcome and prevent the development of osteoarthritis. Olecranon fractures comprise at least 20% of all proximal fractures of the forearm. ConclusionesĮl tratamiento quirúrgico de las fracturas de olécranon tipo ii en pacientes mayores de 65 años mediante el uso de placas preformadas no aportó mejores resultados que los obtenidos mediante la fijación con banda a tensión. Sí destaca una mayor proporción de pacientes a los que hubo que intervenir por problemas relacionados con el material de osteosíntesis en aquellos en los que se emplearon placas preformadas.
No hubo diferencias estadísticamente significativas en los resultados funcionales, el balance articular ni la EVA postoperatoria entre los 2 grupos. ResultadosĮn 26 pacientes se empleó la banda a tensión y en 23, las placas preformadas. A todos se les realizó medición del balance articular con goniómetro y radiografías seriadas al mes, 3, 6 y 12 meses. Los pacientes fueron evaluados funcionalmente mediante el cuestionario Quick DASH.
Se empleó la clasificación de Mayo para definirlas, excluyendo los tipos i y iii, y la EVA para valorar el dolor postoperatorio. Material y métodoĮstudio descriptivo, restrospectivo, de 49 pacientes con una edad media de 75,1 años, intervenidos quirúrgicamente de fractura de olécranon mediante 2 sistemas distintos de fijación. Treatment of olecranon fractures with tension band with needles and cerclage remains the surgery of choice in patients older than 65 years.Įl objeto de este estudio fue comparar los resultados clínicos del tratamiento quirúrgico mediante banda a tensión con agujas y las placas preconformadas en las fracturas de olécranon tipo ii de Mayo en pacientes mayores de 65 años. There were a greater proportion of patients who had to be operated because of problems related to osteosynthesis material in those in which preformed plates were used. There were no statistically significant differences in functional outcomes, joint balance or postoperative VAS between the 2 groups. In 26 patients the tension band was used and the preformed plates in 23.
OLECRANON FRACTURE SERIAL
All measurement was performed with goniometer and joint balance serial radiographs at one month, 3, 6 and 12 months. Patients were assessed functionally by the questionnaire Quick DASH. The Mayo classification was used to define them, excluding type I and III, and the VAS to assess postoperative pain. Materials and methodĪ descriptive, retrospective study of 49 patients with a mean age of 75.1 years who underwent surgery olecranon fracture using 2 different fixing systems. The objective of this study was to compare the clinical outcomes of surgical treatment using tension band with needles and preformed plates in type II olecranon fractures according to the Mayo classification in patients older than 65 years. The Journal is included in the major databases: MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, and IBECS. All works are evaluated blind by at least 3 peer reviewers, whose judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. The Editorial Committee consists of 10 independent members, specialists of recognised prestige that are not associated with the governing bodies of the Society. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim the publication of the best original research articles in Spanish. The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty.
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