[Report of 11 cases of the comminuted olecranon fracture treatment with anatomically preshaped locking compression plate (LCP)].

OBJECTIVE

To discuss the treatment effect of comminuted olecranon fractures with anatomically preshaped locking compression plate.

METHODS

From August 2009 to May 2011,11 cases of comminuted olecranon fractures were treated, and their average age was 52 years. According to Mayo classification, 9 cases were of type IIB and 2 of type IIIB. All cases accepted open reduction and internal fixation with anatomically preshaped locking compression plate. After operation, all the patients were followed up regularly. X-rays were performed to evaluate fracture healing, and function of affected elbow were evaluated according to Broberg & Morrey elbow performance score.

RESULTS

With follow-up time for 2 to 20 months (average 8.4 months), all patients attained fracture healing, and the fracture healing time was 7 to 18 weeks (average 11 weeks). According to Broberg & Morrey elbow performance score, 4 cases were excellent, 6 good, and 1 fair. The total excellent and good rate was 90.9%. Heterotopic ossification occurred in 1 case, and obvious limited ROM occurred in 1 case.

CONCLUSION

Using anatomically preshaped locking compression plate to treat comminuted olecroanon fractures can attain stable fixation, perform early motion, and get satisfied results.