Work

Risk factors for complications and poor function after open reduction and fixation of olecranon fractures

Year: 2025

Type: article

Abstract: Background: Surgical treatment of olecranon fractures is associated with a high rate of complications, potential restricted elbow function, and the need for revision surgeries. The aim of this study was to evaluate risk factors for complications and reduced functional outcomes following surgical treatment. Methods: All consecutive patients aged ≥18 years and treated at our level 1 trauma center for isolated open and closed olecranon fractures between January 2015 and March 2023 were retrospectively analyzed. Data on epidemiology, comorbidities, fracture type, treatment performed, and complications were collected. To assess elbow function, patients were contacted by phone or mail, and the Oxford Elbow Score, Modified Mayo Elbow Performance Score (MEPS), and Numeric Rating Scale of pain were recorded. Results: = .011). Conclusion: Surgical treatment of olecranon fractures is associated with a high rate of complications, patients undergoing revisions beyond implant removal had poorer functional outcome; however, no significant differences in functional outcomes or secondary operations were found with respect to fracture type, gender, or surgical method. The size of the postoperative joint gap or step-off did not significantly affect the functional outcome. Despite acceptable functional scores, optimizing treatment and patient selection remains essential, as revisions are frequently necessary.

Source: JSES Reviews Reports and Techniques

DOI: 10.1016/j.xrrt.2025.08.004

Authors: Jawad Almasarweh, Hussam Ellauzi, Jan Dirk Theopold, Christian Kleber, Georg Osterhoff

Institutions: University Hospital Leipzig, Unfallkrankenhaus Berlin

Language: English

Topic: Elbow and Forearm Trauma Treatment

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,370