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Results of non-operative treatment of olecranon fracture in over 75-year-olds

Marot, Vincent and Bayle-Iniguez, Xavier and Cavaignac, Étienne and Bonnevialle, Nicolas and Mansat, Pierre and Murgier, Jérôme Results of non-operative treatment of olecranon fracture in over 75-year-olds. (2018) Orthopaedics & Traumatology: Surgery & Research, 104 (1). 79-82. ISSN 1877-0568

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Official URL: https://doi.org/10.1016/j.otsr.2017.10.015

Abstract

INTRODUCTION: Surgery is the gold-standard treatment of displaced olecranon fracture, but is associated with numerous complications, especially in the elderly. Functional results of non-operative treatment in this population have never been analyzed in a prospective study. STUDY HYPOTHESIS: Non-operative treatment of isolated olecranon fracture with stable elbow-joint in over 75-year-olds gives functional results comparable to those of surgery as reported in the literature, with fewer complications. MATERIAL AND METHODS: A prospective study analyzed functional results of non-operative treatment of isolated closed Mayo I and II olecranon fracture with stable elbow, in patients aged ≥75 years. The principal assessment criterion was functional recovery on the Mayo Elbow Performance Score (MEPS) and QuickDASH at 6 months. RESULTS: Twenty-two fractures in 21 patients were included. Mean MEPS was 95.26/100 (range, 85-100), and mean QuickDASH 4.3 (range, 0-29.55). Eighteen fractures showed osteoarthritis of the olecranon. There were no cases of elbow instability. There were no complications. DISCUSSION: Non-operative treatment of olecranon fracture in patients aged ≥75 years provided excellent functional results at 6 months, without associated complications. TYPE OF STUDY: Single-center prospective observation cohort study.

Item Type:Article
HAL Id:hal-02143128
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
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Deposited By: Pascal SWIDER
Deposited On:13 Mar 2019 07:51

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