Olecranon fractures

This approach is suitable for olecranon fractures without displacement, as well as in cases of severe general condition of the patient when surgery is contraindicated. This involves securing the affected limb in a plaster or polymer cast, applied fr om the hand to the upper third of the shoulder, for 4-6 weeks. In some cases, a hinged orthosis may be used to lim it the range of motion at the elbow joint. After the immobilization period is over, the patient should begin rehabilitation immediately. This helps restore elbow joint mobility and prevents contractures.

Surgical treatment is indicated in cases of displaced fractures, the need for early rehabilitation and limb function recovery (e.g., athletes or patients with multiple fractures in different areas), and open fractures. Since any olecranon fracture is intra-articular, surgical intervention is performed based on the following principles: precise restoration of the articular surface (anatomical repositioning), secure fixation, and establishing conditions for early rehabilitation. The most common surgical treatment is Weber osteosynthesis using wires and loops. This is used for simple (bifragmentary, transverse) fractures. Our clinic uses CT to assess fractures, which means we often see multifragmentary fractures and articular surface indentations that aren't always visible on X-rays. This means Weber osteosynthesis isn't as common, and osteosynthesis using locked plates is preferred.