Plate fixation of multifragmentary olecranon fracture | 合法醫療器材資訊網

Childrenwhoaretoosmallforsuchaplatemaybetreatedwithamodified1/3tubularplatecutandbentintoahookplateconfiguration.Everyeffortshould ...

Bridge plating is used primarily for comminuted olecranon fractures. These fractures often involve a high energy mechanism in brittle metaphyseal bone.

They are rarely seen in pediatric practice and almost always in adolescent patients at or nearing skeletal maturity.

In this case periarticular plates designed for adult patients are often suitable. The residual growth from the olecranon apophysis is minimal and can be ignored.

Children who are too small for such a plate may be treated with a modified 1/3 tubular plate cut and bent into a hook plate configuration.

Every effort should be directed at anatomical reduction and stable fixation of the major articular surface fragments, particularly the coronoid process.

In this situation, the fracture must be bridged without compression to preserve the size and shape of the olecranon fossa. Small interfra...