Abstract

Olecranon fractures are one of the most commonly seen orthopaedic injuries in the emergency. Fractures of the Olecranon process of the Ulna typically occurs as a result of a motor-vehicle or motorcycle accident, a fall, or assault. The accepted management for Olecranon fractures is for Non displaced fractures short immobilization followed by gradually increasing range of motion. When displaced ,Open reduction and internal fixation with k-wires and figure of eight tension band wiring for simple transverse fractures and olecranon hook plate for comminuted fractures The present study is undertaken to evaluate the results of surgical management, the merits and demerits and to asses elbow joint motion and stability after the procedure. MATERIALS AND METHODS: It is a prospective study which was done from January 2021 to April 2022. Mahatma Gandhi memorial medical college & M.Y. Hospital Indore In this study period of 18 cases of fracture olecranon treated by Tension band wiring with for Simple fractures and Olecranon hook plate for displaced Comminuted fractures. RESULTS: In our series, majority of the patients were males, middle aged, with road traffic accident being the commonest mode of injury. oblique and transverse fractures according to Colton’s classification Surgery was performed with in 3.48 average days, Union was noted clinically and radiological and functional evaluation was done by Mayo elbow performance score. Excellent results was present in 18 patients with no poor results. CONCLUSION: From the present study it is concluded that the technique of open reduction and internal fixation with tension band wiring for simple transverse and oblique fractures and olecranon plate fixation for comminuted fractures are effective means and gold standard technique of treating fractures of olecranon and is based on sound biomechanical principle.

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