Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes
Background: Proximal ulna fractures, such as olecranon and Monteggia fractures, can be challenging to treat.Objective: To assess the effectiveness of locking compression plates (LCP) in stabilizing and promoting early mobilization in these fractures.Materials and methods: This is a prospective study...
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| Language: | English |
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2025-05-01
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| Series: | Инновационная медицина Кубани |
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| Online Access: | https://www.innovmedkub.ru/jour/article/view/1193 |
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| author | K. Dwaraganath R. Rohit Ch. Arun Kumar A. Subramanian |
| author_facet | K. Dwaraganath R. Rohit Ch. Arun Kumar A. Subramanian |
| author_sort | K. Dwaraganath |
| collection | DOAJ |
| description | Background: Proximal ulna fractures, such as olecranon and Monteggia fractures, can be challenging to treat.Objective: To assess the effectiveness of locking compression plates (LCP) in stabilizing and promoting early mobilization in these fractures.Materials and methods: This is a prospective study conducted at Saveetha Medical College and Hospital from January 2022 to December 2023. Patients with compound fractures, pediatric fractures, proximal bilateral forearm fractures, and those considered medically incompetent for surgery were excluded from the study.Results: Of 20 patients with olecranon and Monteggia fractures, the majority had comminuted olecranon fractures. Most cases did not have associated injuries, while a few had radial head or coronoid injuries. Fracture union times varied, with some cases taking 12, 16, or 18 weeks to heal. Most patients achieved good elbow range of motion, exceeding 100° in 75% of cases. One patient experienced an exposed implant, one developed an infection, and 3 cases had restricted terminal pronation and supination. Functional outcomes assessed using the Mayo Elbow Performance score were excellent in 16 patients and good in 4 patients.Conclusions: That comminuted olecranon and proximal ulna fractures can be effectively treated with LCP, resulting in good union and excellent clinical outcomes. |
| format | Article |
| id | doaj-art-f85decbb67e94a7a9f313876b479f5a3 |
| institution | Kabale University |
| issn | 2541-9897 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj-art-f85decbb67e94a7a9f313876b479f5a32025-08-20T03:47:32ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972025-05-01102333910.35401/2541-9897-2025-10-2-33-39571Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional OutcomesK. Dwaraganath0R. Rohit1Ch. Arun Kumar2A. Subramanian3Saveetha Institute of Medical and Technical Sciences (SIMAT)Saveetha Institute of Medical and Technical Sciences (SIMAT)Saveetha Institute of Medical and Technical Sciences (SIMAT)Saveetha Institute of Medical and Technical Sciences (SIMAT)Background: Proximal ulna fractures, such as olecranon and Monteggia fractures, can be challenging to treat.Objective: To assess the effectiveness of locking compression plates (LCP) in stabilizing and promoting early mobilization in these fractures.Materials and methods: This is a prospective study conducted at Saveetha Medical College and Hospital from January 2022 to December 2023. Patients with compound fractures, pediatric fractures, proximal bilateral forearm fractures, and those considered medically incompetent for surgery were excluded from the study.Results: Of 20 patients with olecranon and Monteggia fractures, the majority had comminuted olecranon fractures. Most cases did not have associated injuries, while a few had radial head or coronoid injuries. Fracture union times varied, with some cases taking 12, 16, or 18 weeks to heal. Most patients achieved good elbow range of motion, exceeding 100° in 75% of cases. One patient experienced an exposed implant, one developed an infection, and 3 cases had restricted terminal pronation and supination. Functional outcomes assessed using the Mayo Elbow Performance score were excellent in 16 patients and good in 4 patients.Conclusions: That comminuted olecranon and proximal ulna fractures can be effectively treated with LCP, resulting in good union and excellent clinical outcomes.https://www.innovmedkub.ru/jour/article/view/1193proximal ulnamonteggia fracturelocking compression platefracturemayo score |
| spellingShingle | K. Dwaraganath R. Rohit Ch. Arun Kumar A. Subramanian Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes Инновационная медицина Кубани proximal ulna monteggia fracture locking compression plate fracture mayo score |
| title | Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes |
| title_full | Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes |
| title_fullStr | Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes |
| title_full_unstemmed | Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes |
| title_short | Locking Compression Plates in Proximal Ulna Fractures: A Study on Functional Outcomes |
| title_sort | locking compression plates in proximal ulna fractures a study on functional outcomes |
| topic | proximal ulna monteggia fracture locking compression plate fracture mayo score |
| url | https://www.innovmedkub.ru/jour/article/view/1193 |
| work_keys_str_mv | AT kdwaraganath lockingcompressionplatesinproximalulnafracturesastudyonfunctionaloutcomes AT rrohit lockingcompressionplatesinproximalulnafracturesastudyonfunctionaloutcomes AT charunkumar lockingcompressionplatesinproximalulnafracturesastudyonfunctionaloutcomes AT asubramanian lockingcompressionplatesinproximalulnafracturesastudyonfunctionaloutcomes |