• Der Unfallchirurg · Sep 2008

    [Isolated fractures of the olecranon].

    • A Hölzl and A P Verheyden.
    • Klinik für Unfall-, Orthopädische und Wirbelsäulenchirurgie, Ortenau-Klinikum Lahr-Ettenheim, Akademisches Lehrkrankenhaus der Universität Freiburg im Breisgau, Klostenstrasse 19, 77933 Lahr, Deutschland. Alexander.Hoelzl@le.ortenau-klinikum.de
    • Unfallchirurg. 2008 Sep 1; 111 (9): 727734727-34.

    AbstractFractures of the olecranon account for 7% of fractures in adult patients. Of all elbow fractures, 38% are isolated fractures of the olecranon. Falling on the 90 degrees flexed elbow is the most common cause of isolated olecranon fractures. Reconstitution of the joint surface is the main treatment goal, as well as stability of the joint and full range of motion and muscular strength. This can only be achieved in most cases by open reduction and precision osteosynthesis. Tension band wiring and plate osteosynthesis are the most commonly used techniques. Operative therapy is the therapy of choice, since it permits early physical therapy. Some non-dislocated fractures and fractures in elderly and multimorbid patients are indications for conservative therapy.

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