Olecranon Fracture ORIF
synonyms:
Olecranon Fracture ORIF CPT
Olecranon Fracture ORIF Anatomy
Olecranon Fracture ORIF Indications
- Displaced olecranon fracture
Olecranon Fracture ORIF Contraindications
- Active infection
- Medically unstable for sugery
Olecranon Fracture ORIF Alternatives
- Non-operative treatment
- External Fixation
Olecranon Fracture ORIF Pre-op Planning
- Consider using pre-countoured plates
- Olecranon ORIF Case Card.
Olecranon Fracture ORIF Technique
- Sign operative site.
- Pre-operative antibiotics, +/- regional block.
- General endotracheal anesthesia
- position. All bony prominences well padded.
- Examination under anesthesia.
- Prep and drape in standard sterile fashion.
- Irrigate.
- Close in layers.
Olecranon Fracture ORIF Complications
Olecranon Fracture ORIF Follow-up care
- Post-op: Place in posterior splint in 50-70º of flexion. Encourage finger ROM.
- 10-14 Days: Wound check, remove staples. Evaluate reduction on xrays. Place in long-arm cast or removable posterior splint depending on fracture type and strength of fixation.
- 6 Weeks: Wound check, evaluate xrays for callus formation. Place in removable posterior splint and begin elbow ROM exercises.
- 3 Months: Evaluate xrays for fracture union. Begin gentle sport specific exercises depending on fracture union. Consider bone stimulator if union not evident on xrays.
- 6 Months: Evaluate xrays. Return to sport.
- 1Yr: Evaluate xrays. Evaluate xrays using elbow outcome measures. May consider hardware removal if hardware is painful.
Olecranon Fracture ORIF Outcomes
- (Bailey CS, JOT 2001;15:542).
- (Karlsson MK, CORR 2002;403:205).
Olecranon Fracture ORIF Review References
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