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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 Follow-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

Disclaimer

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