Case series with isolated olecranon fractures associated with radial head fractures are limited and outdated ( 11– 13). Regardless of the classification, the treatment strategy of this complex elbow injury pattern is not well defined and so are its outcomes. The olecranon fractures and the radial head fractures follow the Mayo clinic classification system ( 2, 5, 6) and the modified Mason classification ( 7– 10), respectively. The precise classification of each injury and the personalization of each patient's injury are essential for optimal result. These injuries are ulnar fracture, radial head fracture, radiohumeral dislocation, ulnohumeral dislocation, proximal and distal radioulnar dislocation, interosseus membrane lesion, medial and lateral collateral ligament injury, and coronoid process fracture ( 4). There are some basic injuries of the elbow that must be recognized since each of them requires special treatment and affects the functional outcome. Open anatomic reduction of the articular surface and stable internal fixation is the key to an effective treatment, as this approach enables early postoperative mobilization, which is of great importance ( 3). Complex fractures of proximal ulna and radius represent some of the most difficult fractures to treat, even for experienced orthopedic surgeons. Two cases of heterotopic ossification were present and no nonunion was noted.Ĭonclusion: Surgical management of concomitant olecranon and radial head fractures with appropriate technique can result in the restoration of a functional movement arc and a satisfactory outcome.įractures around the elbow joint need more meticulous care than other articular injuries, because of the multiple articulations involved in the elbow's normal motion, predisposing it to post-traumatic stiffness ( 1, 2). The mean Broberg and Morrey rating system score was 78 and the mean quick DASH score was 25, indicating a good result. Postoperatively, an average 115° extension-flexion arc and 135° pronation-supination arc was noted. Radial head fractures were fixed with headless compression screws or mini plate or replaced (radial head arthroplasty). Olecranon fractures were fixed with tension band with K-Wires or intramedullary compression screw or locking plate. The mean of follow-up was 31 months (r, 3–51). Results: Our study included 6 females and 9 males with a mean age of 50 (r, 25–73). Main outcome measures include range of elbow extension-flexion, pronation-supination, Broberg and Morrey rating system score, and quickDASH score. Olecranon fractures were classified by Mayo classification and radial head fractures by Mason classification and were managed appropriately. Materials and Methods: This is a retrospective study of fifteen patients with concomitant olecranon and radial head fractures presenting to our orthopedic department between 20. The aim of this study is to report and evaluate the functional outcome of the surgical treatment of simultaneous olecranon and radial head fractures. Introduction: Simultaneous olecranon and radial head fractures are rare injuries and due to this factor, the outcome of the selected therapy is not widely studied.
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