You are here

Olecranon Fracture ORIF 24685

Olecranon Fracture xray

proximal ulna anatomy picture

olecranon fracture ORIF xray

synonyms:olecranon fracture ORIF, elbow fracture ORIF

Olecranon Fracture ORIF CPT

Olecranon Fracture ORIF Anatomy

Olecranon Fracture ORIF Indications

  • Displaced olecranon fracture

Olecranon Fracture ORIF Contraindications

  • Active infection
  • Medically unstable for sugery

Olecranon Fracture ORIF Alternatives

  • Non-operative treatment
  • External Fixation

Olecranon Fracture ORIF Pre-op Planning

  • Consider using pre-countoured plates
  • For fractures with comminution, radiocapitellar or transolecranon instability, articular marginal impaction should be treated with Plate fixation.
  • Consider a tension band wire construct for simple fracture patterns without comminution.
  • Consider excision and triceps advancement in elderly, low-demand patients with small unreconstructable fracture patterns without associated elbow instability.

Olecranon Fracture ORIF Technique

  • Sign operative site.
  • Pre-operative antibiotics, +/- regional block.
  • General endotracheal anesthesia
  • position. All bony prominences well padded.
  • Examination under anesthesia.
  • Prep and drape in standard sterile fashion.
  • Irrigate.
  • Close in layers.

Olecranon Fracture ORIF Complications

Olecranon Fracture ORIF Follw-up care

  • Post-op: Place in posterior splint in 50-70º of flexion. Encourage finger ROM.
  • 10-14 Days: Wound check, remove staples. Evaluate reduction on xrays. Place in long-arm cast or removable posterior splint depending on fracture type and strength of fixation.
  • 6 Weeks: Wound check, evaluate xrays for callus formation. Place in removable posterior splint and begin elbow ROM exercises.
  • 3 Months: Evaluate xrays for fracture union. Begin gentle sport specific exercises depending on fracture union. Consider bone stimulator if union not evident on xrays.
  • 6 Months: Evaluate xrays. Return to sport.
  • 1Yr: Evaluate xrays. Evaluate xrays using Elbow Outcome Measures. May consider Hardware Removal if hardware is painful.

Olecranon Fracture ORIF Outcomes

  • (Bailey CS, JOT 2001;15:542).
  • (Karlsson MK, CORR 2002;403:205).

Olecranon Fracture ORIF Review References


The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer