"How the Wrightington classification of traumatic elbow instability can simplify the algorithm for treatment".

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Abstract

15. Clin Shoulder Elb. 2024 Mar;27(1):39-44. doi: 10.5397/cise.2023.00528. Epub 2023 Dec 4. Midterm outcomes of suture anchor fixation for displaced olecranon fractures. Gutman MJ(1), Kirsch JM(1), Koa J(1), Fares MY(1), Abboud JA(1). Author information: (1)Department of Orthopedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospitals, Philadelphia, PA, USA. BACKGROUND: Displaced olecranon fractures constitute a challenging problem for elbow surgeons. The purpose of this study is to evaluate the role of suture anchor fixation for treating patients with displaced olecranon fractures. METHODS: A retrospective review was performed for all consecutive patients with displaced olecranon fractures treated with suture anchor fixation with at least 2 years of clinical follow-up. Surgical repair was performed acutely in all cases with nonmetallic suture anchors in a double-row configuration utilizing suture augmentation via the triceps tendon. Osseous union and perioperative complications were uniformly assessed. RESULTS: Suture anchor fixation was performed on 17 patients with displaced olecranon fractures. Functional outcome scores were collected from 12 patients (70.6%). The mean age at the time of surgery was 65.6 years, and the mean follow-up was 5.6 years. Sixteen of 17 patients (94%) achieved osseous union in an acceptable position. No hardware-related complications or fixation failure occurred. Mean postoperative shortened disabilities of the arm, shoulder, and hand (QuickDASH) score was 3.8±6.9, and mean Oxford Elbow Score was 47.5±1.0, with nine patients (75%) achieving a perfect score. CONCLUSIONS: Suture anchor fixation of displaced olecranon fractures resulted in excellent midterm functional outcomes. Additionally, this technique resulted in high rates of osseous union without any hardware-related complications or fixation failures. Level of evidence: IV. DOI: 10.5397/cise.2023.00528 PMCID: PMC10938017