Document Detail

Comminuted olecranon fractures: a comparison of plating methods.
MedLine Citation:
PMID:  16414476     Owner:  NLM     Status:  MEDLINE    
The relative strength of posterior plating and dual medial-lateral plating for comminuted olecranon fractures has not been evaluated. Fifteen male cadaveric elbows with simulated highly comminuted olecranon fractures were tested to failure via cantilever bending. The strength of dual medial-lateral plates and a single posterior plate with and without an intramedullary screw was evaluated. The mean bending moment at failure for the dual-plated specimens was 30.0 +/- 7.5 Nm. The mean bending moment at failure for specimens with a posterior plate without an intramedullary screw was 34.5 +/- 9.1 Nm. The mean bending moment at failure for specimens with a posterior plate and an intramedullary screw was 44.5 +/- 6.9 Nm; this was significantly greater than for dual-plated specimens (P < .05) but not for specimens with a posterior plate without an intramedullary screw. The posterior plate with an intramedullary screw was the most stable construct tested and may, therefore, be the preferred method of fixation for comminuted olecranon fractures. This construct was significantly (48%) stronger than dual medial and lateral plating.
Michael J Gordon; Jeffrey E Budoff; Ming Long Yeh; Zong-Ping Luo; Philip C Noble
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  15     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2006 Jan-Feb
Date Detail:
Created Date:  2006-01-17     Completed Date:  2006-05-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  94-9     Citation Subset:  IM    
Department of Orthopedic Surgery, Baylor College of Medicine, 6550 Fannin Street, Houston, TX 77030, USA.
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MeSH Terms
Bone Plates*
Bone Screws
Elbow Joint / injuries*,  surgery*
Equipment Failure Analysis
Fracture Fixation, Internal / methods*
Fractures, Comminuted*
Random Allocation

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