Vol. 10, Issue 3 (2024)

Background: Olecranon fractures, prevalent in adults due to direct trauma or falls, often require surgical intervention to restore function and prevent long-term complications. Anatomical plate and screw fixation is a contemporary approach designed to provide enhanced stability and alignment compared to traditional methods such as tension band wiring. This study aims to evaluate the clinical outcomes and complications associated with anatomical plate and screw fixation for olecranon fractures.
Patients and Methods: This prospective case series study, conducted from October 2023 to March 2024 at Al-Yarmouk Teaching Hospital in Baghdad, Iraq, evaluated 26 patients with closed, displaced olecranon fractures (Mayo type IIA). Patients, aged 18 to 70, underwent anatomical plate and screw fixation. Data collection involved comprehensive clinical evaluations, radiological assessments, and pre-operative and post-operative care protocols. Data analysis was performed using SPSS, with strict adherence to ethical standards and national research guidelines.
Results: The study analyzed 26 patients with olecranon fractures, revealing 69.2% males and an average age of 38.3 years. The majority of fractures were pattern 21-B1, with 93.3% achieving union within 3.5 months. Surgical intervention occurred after an average of 5.23 days, with a mean flexion-extension range of motion at 4 months being 106°. Complications included non-union, infections, and one case of radio-ulnar synostosis. Despite these issues, postoperative outcomes were generally positive, with high functional scores and satisfactory recovery.
Conclusion: Anatomical plate and screw fixation for olecranon fractures demonstrated favorable outcomes with high union rates and satisfactory functional recovery. The technique provided effective stabilization and allowed for early mobilization. However, attention to potential complications such as infection and nonunion is necessary. Further research is warranted to assess long-term outcomes and refine surgical strategies.