A comparative analysis of results of operative treatment of olecranon fracture utilizing Gruca screw and Weber girth

Bednarenko, M.; Kotela, I.; Bołtuć, W.; Jakubowski, L.

Przeglad lekarski 63 Suppl. 7: 19-21

2006


ISSN/ISBN: 0033-2240
PMID: 17784540
Document Number: 598229
An injury to the elbow constitutes 3.5% of all injuries of the movement system and of these 31% concern olecranon fractures. In the majority of cases they are intra-articular fractures, unstable because of the action of the triceps muscle of the arm. Most of the patients require operative treatment. In the years 1984-2001 in the Traumatic and Orthopedic Ward we treated 49 patients with olecranon fractures. In 30 patient we utilized Gruca screw and in 10 of them Weber girth. 3 fractures were fixed with a wire loop and the remaining 6 did not require operative but only conservative treatment. The results were estimated according to the Hofbauer's scale in 37 patients among whom 27 were treated making a fixation with a Gruca screw and 10 by using Weber girth. Altogether, we achieved good and satisfactory results in 33 cases and bad results in 4 cases. Based on these results there is no evident superiority of one method over the other. The study emphasizes the importance of the correct qualification to either therapeutic method.

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