title: Operative treatment of communited olecranon fractures using tension-band wiring and miniplate augmentation.
abstract: Olecranon fractures are intra-articular injuries that require anatomic restoration of the articular surface. For most simple noncomminuted transverse olecranon fractures, tension band wire fixation can provide a stable construct to allow for early joint range of motion. However, in comminuted olecranon fractures, it is difficult to provide a sufficient buttress for impacted articular fragments using tension band wire fixation. Therefore, plate fixation is the standard fixation method, but wide skin exposure and symptomatic plate irritation on the skin are common complications. The authors' technique uses tension band wire fixation with miniplate augmentation for patients with comminuted olecranon fractures.
authors.affiliation: Department of Orthopaedic Surgery, Ilsan Paik Hospital, Ilsan, Korea. osd11@paik.ac.kr
authors.forename: Hyoung Keun
authors.initials: HK
authors.lastname: Oh
authors.forename: Suk Kyu
authors.initials: SK
authors.lastname: Choo
authors.forename: Chang Soo
authors.initials: CS
authors.lastname: Lee
authors.forename: Jae Gwang
authors.initials: JG
authors.lastname: Song
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001864:Bone Wires; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D056740:Olecranon Process / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D011859:Radiography