title: [A comparative analysis of results of operative treatment of olecranon fracture utilizing Gruca screw and Weber girth].
abstract: An injury to the elbow constitutes 3.5% of all injuries of the movement system and of these 31% concern olecranon fractures. In the majority of cases they are intra-articular fractures, unstable because of the action of the triceps muscle of the arm. Most of the patients require operative treatment. In the years 1984-2001 in the Traumatic and Orthopedic Ward we treated 49 patients with olecranon fractures. In 30 patient we utilized Gruca screw and in 10 of them Weber girth. 3 fractures were fixed with a wire loop and the remaining 6 did not require operative but only conservative treatment. The results were estimated according to the Hofbauer's scale in 37 patients among whom 27 were treated making a fixation with a Gruca screw and 10 by using Weber girth. Altogether, we achieved good and satisfactory results in 33 cases and bad results in 4 cases. Based on these results there is no evident superiority of one method over the other. The study emphasizes the importance of the correct qualification to either therapeutic method.
authors.affiliation: Oddzial Chirurgii Urazowo-Ortopedycznej i Rehabilitacji w Dabrowie Tarnowskiej.
authors.forename: Marcin
authors.initials: M
authors.lastname: Bednarenko
authors.forename: Ireneusz
authors.initials: I
authors.lastname: Kotela
authors.forename: Witold
authors.initials: W
authors.lastname: Bołtuć
authors.forename: Lukasz
authors.initials: L
authors.lastname: Jakubowski
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D004551:Elbow Joint / Q000000981:diagnostic imaging; D005260:Female; D005592:Fracture Fixation / Q000379:methods; D017102:Fracture Healing; D005596:Fractures, Closed / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000092464:Elbow Injuries