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Results of non-operative treatment of olecranon fracture in over 75-year-olds

Abstract : INTRODUCTION: Surgery is the gold-standard treatment of displaced olecranon fracture, but is associated with numerous complications, especially in the elderly. Functional results of non-operative treatment in this population have never been analyzed in a prospective study. STUDY HYPOTHESIS: Non-operative treatment of isolated olecranon fracture with stable elbow-joint in over 75-year-olds gives functional results comparable to those of surgery as reported in the literature, with fewer complications. MATERIAL AND METHODS: A prospective study analyzed functional results of non-operative treatment of isolated closed Mayo I and II olecranon fracture with stable elbow, in patients aged ≥75 years. The principal assessment criterion was functional recovery on the Mayo Elbow Performance Score (MEPS) and QuickDASH at 6 months. RESULTS: Twenty-two fractures in 21 patients were included. Mean MEPS was 95.26/100 (range, 85-100), and mean QuickDASH 4.3 (range, 0-29.55). Eighteen fractures showed osteoarthritis of the olecranon. There were no cases of elbow instability. There were no complications. DISCUSSION: Non-operative treatment of olecranon fracture in patients aged ≥75 years provided excellent functional results at 6 months, without associated complications. TYPE OF STUDY: Single-center prospective observation cohort study.
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Submitted on : Wednesday, May 29, 2019 - 10:36:17 AM
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Vincent Marot, Xavier Bayle-Iniguez, Étienne Cavaignac, Nicolas Bonnevialle, Pierre Mansat, et al.. Results of non-operative treatment of olecranon fracture in over 75-year-olds. Orthopaedics and Traumatology - Surgery and Research, Elsevier, 2018, 104 (1), pp.79-82. ⟨10.1016/j.otsr.2017.10.015⟩. ⟨hal-02143128⟩



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