Skip to main content
Top
Published in: International Orthopaedics 6/2013

01-06-2013 | Original Paper

Design and application of Nickel-Titanium olecranon memory connector in treatment of olecranon fractures: a prospective randomized controlled trial

Authors: Xiao Chen, Peng Liu, Xiaofei Zhu, Liehu Cao, Chuncai Zhang, Jiacan Su

Published in: International Orthopaedics | Issue 6/2013

Login to get access

Abstract

Purpose

We carried out this study to test the efficacy of the olecranon memory connector (OMC) in olecranon fractures.

Methods

We designed a prospective randomised controlled trial involving 40 cases of olecranon fractures. From May 2004 to December 2009, 40 patients with olecranon fractures were randomly assigned into two groups. Twenty patients were treated with OMC, while another 20 patients were fixed with locking plates in our hospital. The DASH score, MEP score, range of motion and radiographs were used to evaluate the postoperative elbow function and complications.

Results

For MEP score, OMC was better than the locking plate; for DASH score, complication rate, and range of elbow motion, the two methods presented no significant difference.

Conclusion

The study showed that OMC could be an effective alternative to treat olecranon fractures.
Literature
1.
go back to reference Rommens PM, Kuchle R, Schneider RU, Reuter M (2004) Olecranon fractures in adults: factors influencing outcome. Injury 35:1149–1157PubMedCrossRef Rommens PM, Kuchle R, Schneider RU, Reuter M (2004) Olecranon fractures in adults: factors influencing outcome. Injury 35:1149–1157PubMedCrossRef
2.
go back to reference Veillette CJ, Steinmann SP (2008) Olecranon fractures. Orthop Clin N Am 39:229–236, viiCrossRef Veillette CJ, Steinmann SP (2008) Olecranon fractures. Orthop Clin N Am 39:229–236, viiCrossRef
3.
go back to reference Gordon MJ, Budoff JE, Yeh ML, Luo ZP, Noble PC (2006) Comminuted olecranon fractures: a comparison of plating methods. J Shoulder Elbow Surg 15:94–99PubMedCrossRef Gordon MJ, Budoff JE, Yeh ML, Luo ZP, Noble PC (2006) Comminuted olecranon fractures: a comparison of plating methods. J Shoulder Elbow Surg 15:94–99PubMedCrossRef
4.
go back to reference Karlsson MK, Hasserius R, Besjakov J, Karlsson C, Josefsson PO (2002) Comparison of tension-band and figure-of-eight wiring techniques for treatment of olecranon fractures. J Shoulder Elbow Surg 11:377–382PubMedCrossRef Karlsson MK, Hasserius R, Besjakov J, Karlsson C, Josefsson PO (2002) Comparison of tension-band and figure-of-eight wiring techniques for treatment of olecranon fractures. J Shoulder Elbow Surg 11:377–382PubMedCrossRef
5.
go back to reference Kloen P, Buijze GA (2009) Treatment of proximal ulna and olecranon fractures by dorsal plating. Oper Orthop Traumatol 21:571–585PubMedCrossRef Kloen P, Buijze GA (2009) Treatment of proximal ulna and olecranon fractures by dorsal plating. Oper Orthop Traumatol 21:571–585PubMedCrossRef
6.
go back to reference Murphy DF, Greene WB, Gilbert JA, Dameron TB, Jr (1987) Displaced olecranon fractures in adults. Biomechanical analysis of fixation methods. Clin Orthop Relat Res 210–214 Murphy DF, Greene WB, Gilbert JA, Dameron TB, Jr (1987) Displaced olecranon fractures in adults. Biomechanical analysis of fixation methods. Clin Orthop Relat Res 210–214
7.
go back to reference Candal-Couto JJ, Williams JR, Sanderson PL (2005) Impaired forearm rotation after tension-band-wiring fixation of olecranon fractures: evaluation of the transcortical K-wire technique. J Orthop Trauma 19:480–482PubMedCrossRef Candal-Couto JJ, Williams JR, Sanderson PL (2005) Impaired forearm rotation after tension-band-wiring fixation of olecranon fractures: evaluation of the transcortical K-wire technique. J Orthop Trauma 19:480–482PubMedCrossRef
8.
go back to reference De Carli P, Gallucci GL, Donndorff AG, Boretto JG, Alfie VA (2009) Proximal radio-ulnar synostosis and nonunion after olecranon fracture tension-band wiring: a case report. J Shoulder Elbow Surg 18:e40–e44PubMedCrossRef De Carli P, Gallucci GL, Donndorff AG, Boretto JG, Alfie VA (2009) Proximal radio-ulnar synostosis and nonunion after olecranon fracture tension-band wiring: a case report. J Shoulder Elbow Surg 18:e40–e44PubMedCrossRef
9.
go back to reference Failla JM, Amadio PC, Morrey BF (1989) Post-traumatic proximal radio-ulnar synostosis. Results of surgical treatment. J Bone Joint Surg Am 71:1208–1213PubMed Failla JM, Amadio PC, Morrey BF (1989) Post-traumatic proximal radio-ulnar synostosis. Results of surgical treatment. J Bone Joint Surg Am 71:1208–1213PubMed
10.
go back to reference Finsen V, Lingaas PS, Storro S (2000) AO tension-band osteosynthesis of displaced olecranon fractures. Orthopedics 23:1069–1072PubMed Finsen V, Lingaas PS, Storro S (2000) AO tension-band osteosynthesis of displaced olecranon fractures. Orthopedics 23:1069–1072PubMed
11.
go back to reference Hutchinson DT, Horwitz DS, Ha G, Thomas CW, Bachus KN (2003) Cyclic loading of olecranon fracture fixation constructs. J Bone Joint Surg Am 85-A:831–837PubMed Hutchinson DT, Horwitz DS, Ha G, Thomas CW, Bachus KN (2003) Cyclic loading of olecranon fracture fixation constructs. J Bone Joint Surg Am 85-A:831–837PubMed
12.
go back to reference Romero JM, Miran A, Jensen CH (2000) Complications and re-operation rate after tension-band wiring of olecranon fractures. J Orthop Sci 5:318–320PubMedCrossRef Romero JM, Miran A, Jensen CH (2000) Complications and re-operation rate after tension-band wiring of olecranon fractures. J Orthop Sci 5:318–320PubMedCrossRef
13.
go back to reference Su JC, Liu XW, Yu BQ, Li ZD, Li M, Zhang CC (2010) Shape memory Ni-Ti alloy swan-like bone connector for treatment of humeral shaft nonunion. Int Orthop 34:369–375PubMedCrossRef Su JC, Liu XW, Yu BQ, Li ZD, Li M, Zhang CC (2010) Shape memory Ni-Ti alloy swan-like bone connector for treatment of humeral shaft nonunion. Int Orthop 34:369–375PubMedCrossRef
14.
go back to reference Weber BG, Vasey H (1963) Osteosynthesis in olecranon fractures. Z Unfallmed Berufskr 56:90–96PubMed Weber BG, Vasey H (1963) Osteosynthesis in olecranon fractures. Z Unfallmed Berufskr 56:90–96PubMed
15.
go back to reference Villanueva P, Osorio F, Commessatti M, Sanchez-Sotelo J (2006) Tension-band wiring for olecranon fractures: analysis of risk factors for failure. J Shoulder Elbow Surg 15:351–356PubMedCrossRef Villanueva P, Osorio F, Commessatti M, Sanchez-Sotelo J (2006) Tension-band wiring for olecranon fractures: analysis of risk factors for failure. J Shoulder Elbow Surg 15:351–356PubMedCrossRef
16.
go back to reference Larsen E, Jensen CM (1991) Tension-band wiring of olecranon fractures with nonsliding pins. Report of 20 cases. Acta Orthop Scand 62:360–362PubMedCrossRef Larsen E, Jensen CM (1991) Tension-band wiring of olecranon fractures with nonsliding pins. Report of 20 cases. Acta Orthop Scand 62:360–362PubMedCrossRef
17.
go back to reference Macko D, Szabo RM (1985) Complications of tension-band wiring of olecranon fractures. J Bone Joint Surg Am 67:1396–1401PubMed Macko D, Szabo RM (1985) Complications of tension-band wiring of olecranon fractures. J Bone Joint Surg Am 67:1396–1401PubMed
18.
go back to reference Bailey CS, MacDermid J, Patterson SD, King GJ (2001) Outcome of plate fixation of olecranon fractures. J Orthop Trauma 15:542–548PubMedCrossRef Bailey CS, MacDermid J, Patterson SD, King GJ (2001) Outcome of plate fixation of olecranon fractures. J Orthop Trauma 15:542–548PubMedCrossRef
19.
go back to reference Prayson MJ, Iossi MF, Buchalter D, Vogt M, Towers J (2008) Safe zone for anterior cortical perforation of the ulna during tension-band wire fixation: a magnetic resonance imaging analysis. J Shoulder Elbow Surg 17:121–125PubMedCrossRef Prayson MJ, Iossi MF, Buchalter D, Vogt M, Towers J (2008) Safe zone for anterior cortical perforation of the ulna during tension-band wire fixation: a magnetic resonance imaging analysis. J Shoulder Elbow Surg 17:121–125PubMedCrossRef
20.
go back to reference Parker JR, Conroy J, Campbell DA (2005) Anterior interosseus nerve injury following tension band wiring of the olecranon. Injury 36:1252–1253PubMedCrossRef Parker JR, Conroy J, Campbell DA (2005) Anterior interosseus nerve injury following tension band wiring of the olecranon. Injury 36:1252–1253PubMedCrossRef
21.
go back to reference Gehr J, Friedl W (2006) Intramedullary locking compression nail for the treatment of an olecranon fracture. Oper Orthop Traumatol 18:199–213PubMedCrossRef Gehr J, Friedl W (2006) Intramedullary locking compression nail for the treatment of an olecranon fracture. Oper Orthop Traumatol 18:199–213PubMedCrossRef
22.
go back to reference Fyfe IS, Mossad MM, Holdsworth BJ (1985) Methods of fixation of olecranon fractures. An experimental mechanical study. J Bone Joint Surg Br 67:367–372PubMed Fyfe IS, Mossad MM, Holdsworth BJ (1985) Methods of fixation of olecranon fractures. An experimental mechanical study. J Bone Joint Surg Br 67:367–372PubMed
23.
go back to reference Anderson ML, Larson AN, Merten SM, Steinmann SP (2007) Congruent elbow plate fixation of olecranon fractures. J Orthop Trauma 21:386–393PubMedCrossRef Anderson ML, Larson AN, Merten SM, Steinmann SP (2007) Congruent elbow plate fixation of olecranon fractures. J Orthop Trauma 21:386–393PubMedCrossRef
24.
go back to reference Argintar E, Martin BD, Singer A, Hsieh AH, Edwards S (2012) A biomechanical comparison of multidirectional nail and locking plate fixation in unstable olecranon fractures. J Shoulder Elbow Surg 21:1398–1405PubMedCrossRef Argintar E, Martin BD, Singer A, Hsieh AH, Edwards S (2012) A biomechanical comparison of multidirectional nail and locking plate fixation in unstable olecranon fractures. J Shoulder Elbow Surg 21:1398–1405PubMedCrossRef
25.
go back to reference Lindenhovius AL, Brouwer KM, Doornberg JN, Ring DC, Kloen P (2008) Long-term outcome of operatively treated fracture-dislocations of the olecranon. J Orthop Trauma 22:325–331PubMedCrossRef Lindenhovius AL, Brouwer KM, Doornberg JN, Ring DC, Kloen P (2008) Long-term outcome of operatively treated fracture-dislocations of the olecranon. J Orthop Trauma 22:325–331PubMedCrossRef
26.
go back to reference Buijze G, Kloen P (2009) Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg Am 91:2416–2420PubMedCrossRef Buijze G, Kloen P (2009) Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg Am 91:2416–2420PubMedCrossRef
27.
go back to reference Levi DS, Kusnezov N, Carman GP (2008) Smart materials applications for pediatric cardiovascular devices. Pediatr Res 63:552–558PubMedCrossRef Levi DS, Kusnezov N, Carman GP (2008) Smart materials applications for pediatric cardiovascular devices. Pediatr Res 63:552–558PubMedCrossRef
28.
go back to reference Morrey BF (1995) Current concepts in the treatment of fractures of the radial head, the olecranon, and the coronoid. Instr Course Lect 44:175–185PubMed Morrey BF (1995) Current concepts in the treatment of fractures of the radial head, the olecranon, and the coronoid. Instr Course Lect 44:175–185PubMed
29.
go back to reference Li Q, Zeng Y, Tang X The applications and research progresses of nickel-titanium shape memory alloy in reconstructive surgery. Australas Phys Eng Sci Med 33:129–136. doi:10.1007/s13246-010-0022-8 Li Q, Zeng Y, Tang X The applications and research progresses of nickel-titanium shape memory alloy in reconstructive surgery. Australas Phys Eng Sci Med 33:129–136. doi:10.​1007/​s13246-010-0022-8
Metadata
Title
Design and application of Nickel-Titanium olecranon memory connector in treatment of olecranon fractures: a prospective randomized controlled trial
Authors
Xiao Chen
Peng Liu
Xiaofei Zhu
Liehu Cao
Chuncai Zhang
Jiacan Su
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1878-5

Other articles of this Issue 6/2013

International Orthopaedics 6/2013 Go to the issue