An oblique # of the olecranon. If displaced proximally. The treatment is :
Correct Answer: Tension band wiring
Description: "Oblique fracture may need a lag screw, neutralization by tension band system or plate". - Apley's.
Treatment of olecranon fracture :
Treatment of olecranon fracture may be either conservative or surgical.
Conservative treatment :
Conserative treatment includes immobilization in above elbow slab. Indications are :
Undisplaced fractures.
Displaced fracture with displacement less than 2 nun.
Surgical treatmentn :
It is indicated in displaced fracture (> 2mm) and in avulsion fractures due to triceps pull.
Methods of fixation are :
Open reduction and internal fixation by figure of 8 tension band wiring (TB W) : It is the most commonly used method for olecranon fracture. This method is used for avulsion fractures : transverse fractures when the fracture is proximal to coronoid : and sometimes oblique fractures.
Lag screw fixation (interfragmentary screw) : Used in comminuted fracture when the distal fragment is displaced anteriorly and in the oblique fracture.
Plate and screw fixation with grafting : Displaced comminuted fracture where tension band wiring is not possible.
Excision of the proximal fragments.
Category:
Orthopaedics
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