Comparison of double mini locking plate and anatomical locking plate in the treatment of comminuted olecranon fracture
10.3760/cma.j.cn115396-20220405-00105
- VernacularTitle:双微型锁定钢板与解剖型锁定钢板治疗尺骨鹰嘴粉碎性骨折的疗效比较
- Author:
Shuai JI
1
;
Teng MA
;
Qian WANG
;
Yao LU
;
Ming LI
;
Cheng REN
;
Hongfei QI
;
Yu CUI
;
Bing DU
;
Yanling YANG
;
Kun ZHANG
;
Zhong LI
Author Information
1. 延安大学，延安 716000
- Keywords:
Fractures, bone;
Retrospective studies;
Treatment outcome;
Mini-plate
- From:
International Journal of Surgery
2022;49(7):442-447,F3
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of double mini locking plate and anatomical locking plate in the treatment of comminuted olecranon fracture.Methods:The clinical data of 46 patients who underwent comminuted olecranon fracture in the Xi′an Honghui Hospital Affiliated to Xi′an Jiaotong University from March 2017 to May 2020 were analyzed retrospectively. Among them, 21 cases were treated with double mini locking plate (double plate group) and 25 cases with anatomical locking plate (single plate group). The operation time, patient satisfaction, range of motion, return to work time, soft tissue stimulation to remove internal fixation, Mayo elbow performance score (MEPS), disabilities of arm, shoulder and hand score (DASH) of the two fixation methods were statistically compared. Measurement data with normal distribution were represented as ( ± s), and comparison between groups was conducted using the t test. Comparison between groups of count data was conducted using the chi-square test or Fisher exact probability. Results:All 46 patients were followed up for to (19.17±2.79) months. All fractures healed after operation. There was no significant difference in operation time, range of motion, patient satisfaction, MEPS and DASH scores among the two groups( P>0.05). The time of returning to work was (8.47±2.13) weeks in the double plate group and (9.78±1.98) weeks in the single plate group, and the difference was statistically significant ( P< 0.05). There were 9 cases of internal fixation due to soft tissue stimulation, 1 cases in double plate group and 8 cases in single plate group, and the difference was statistically significant ( P<0.05). Conclusions:Compared with anatomical locking plate, the treatment of olecranon fracture with double mini locking plate can effectively reduce soft tissue stimulation and promote patients to return to work early, and the operation time is not significantly prolonged, and the biomechanical advantage is obvious, the clinical effect is satisfactory and the postoperative function is good, so it is an effective treatment.
