Olecranon fractures in adults: factors influencing outcome.

In a retrospective, non-randomized study, we reviewed our experience with the operative treatment of olecranon fractures to find out which factors correlate with subjective complaints and functional outcome. A total of 95 consecutive olecranon fractures were operatively treated in our level I trauma institution between 1 March 1992 and 1 March 2000. Medical records and X-rays of all patients were evaluated. Three patients died, 23 were lost to follow-up. Fifty-eight of 69 available patients (84.0%) were reviewed clinically and/or radiologically after a mean time of 36 months. Fracture type, fracture classification, associated lesions, technical correctness of osteosynthesis, age and comorbi…

The PHENIX Collaboration

Dynamic biomechanical analysis of different olecranon fracture fixation devices--tension band wiring versus two intramedullary nail systems: an in-vitro cadaveric study.

Abstract Background. The aim of this study was to develop a test-setup with continuous angle alteration to imitate joint motion for the evaluation of 3 different olecranon fracture fixation devices. Methods. Twenty-one fresh cadaver upper extremities underwent olecranon fracture by the means of transverse osteotomy and received 3 different fixation systems. Group 1: Tension band wiring according to Weber. Group 2: XS-nail with 9 holes, all locked with 2 mm threaded K-wires. Group 3: Olecranon Nailing System with 90 mm length, locked with 2.7 mm screws, a variable angle locking hole for the proximal fragment and a proximal locking end cap. The servo-pneumatical test stand worked with a rotat…

Functional results after operative treatment of olecranon fractures.

In a retrospective, nonrandomized study, we reviewed our experience with the operative treatment of olecranon fractures to find out which factors correlate with subjective complaints and functional outcome. A total of 95 consecutive olecranon fractures were operatively treated in our level I trauma institution between March 1, 1992 and March 1, 2000. Medical charts and radiographs of all patients were evaluated. Three patients died, 23 were lost to follow-up. Fifty-eight of 69 available patients (84.0%) were reviewed clinically and/or radiologically after a mean time interval of 36 months. Fracture type, fracture classification, associated lesions, technical correctness of osteosynthesis, a…

Interdisziplin�res Polytraumamanagement

Die fruhe klinische Behandlungsphase mehrfachverletzter Patienten ist durch das interdisziplinare Zusammenwirken von Unfallchirurgie, Anasthesie und Radiologie gekennzeichnet. Gemeinsames Ziel dabei ist, lebensbedrohliche Verletzungsmuster umgehend zu diagnostizieren, um adaquate therapeutische Masnahmen einleiten zu konnen. Um diese Anforderungen zu erfullen, bedarf die Radiologie ihrerseits eines standardisierten apparativen, personellen und logistischen Konzeptes zur Durchfuhrung der bildgebenden Diagnostik polytraumatisierter Patienten bei gleichbleibender Qualitat im 24-Stunden-Betrieb. Seit ihrer Einfuhrung entwickelt sich die Mehrschicht-Spiral-CT zum zentralen bildgebenden Verfahren…

Konzepte zur Behandlung von Kniegelenkluxationen und Ergebnisse

Grundlagen: Luxationen des Kniegelenkes sind seltene, jedoch sehr schwere Verletzungen. Daher ist zur optimalen Behandlung ein uberpruftes Konzept notwendig.