J Korean Fract Soc.  2009 Oct;22(4):270-275. 10.12671/jkfs.2009.22.4.270.

Treatment of Ulnar Olecranon Fracture Using Acutrak Screw

• Kim H
• Kim K
• Lim M
• Park Y
• Hwang I
• Lee J

• KMID: 1469994
• DOI: http://doi.org/10.12671/jkfs.2009.22.4.270

Abstract

PURPOSE
To evaluate the clinical results of Acutrak screw fixation for ulnar olecranon fractures. MATERIALS AND METHODS: We reviewed 15 cases of ulnar olecranon fractures which were treated with Acutrak screws from February 2003 to September 2007. Follow-up period is from 12 months to 42 months. We used Mayo classification. Radiologic results were analyzed according to step-off, gap, reduction loss, and functional results were analyzed according to pain and ROM. We analyzed union time, operation time, incision size and complications. RESULTS: In functional results, there were 3 good cases out of 3 Mayo type IA, 8 good cases and 2 fair cases out of 10 type IIA, 1 fair case and 1 poor case out of 2 type IIB. In radiologic results, there was 1 case of reduction loss. Average union time was 9.4 weeks, average operation time was 24 minutes and average incision size was 1.8 cm. CONCLUSION: We conclude that Acutrak screw fixation can be a treatment option for olecranon fracture of Mayo type IA and IIA.

Keyword

Ulna; Olecranon fracture; Acutrak screw

MeSH Terms

Follow-Up Studies
Olecranon Process
Ulna

Figure

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  Fig. 1 (A) Initial radiographs show the intra-articular olecranon fracture of type IIA. (B) Radiographs of postoperative 3 weeks show anatomical reduction with Acutrak screw. (C) Radiographs of postoperative 7 months show complete union and good congruity of elbow joint after removal of Acutrak screw.

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  Fig. 2 (A) Radiographs show olecranon fracture of type IIA. (B) These radiographs show internal fixation of olecranon fracture with 2 Acutrak screws postoperatively. (C) Radiographs of postoperative 30 months show 2 Acutrak screws with good congruity of elbow.

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  Fig. 3 (A) Initial radiographs show olecranon fracture of type IIB. (B) Radiographs of postoperative 3 days show internal fixation of fracture with 2 Acutrak screws. (C) On 26th day after operation, reduction loss is shown in these radiographs. (D) After reduction loss, hardware removal and tension band wiring was done in these radiographs.

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