J Korean Fract Soc.  2001 Jan;14(1):99-105.

Treatment of Transolecranon Fracture-Dislocation of the Elbow

• Kang SY
• Lee HJ
• Han JN
• Kim KH

Abstract

PURPOSE
We conducted this study to discriminate transolecranon fracture-dislocation of the elbow from the anterior Monteggia lesion and to validate the differences of method of treatment. MATERIALS AND METHOD: From March, 1998 to May, 1999, 3 cases of the transolecranon fracture-dislocation of the elbow were treated by open reduction and internal fixation.One of the three patients had simple oblique fracture of the olecranon combined with capitellum fracture and two had complex comminuted fracture of the olecranon. Functional outcome was assessed with elbow performance rating system of Broberg and Morrey.
RESULTS
At a minimum follow-up of 12 months, overall outcome was rated as exellent in two patients, fair in one. Average bone union peoriod was three months.
CONCLUSION
Stable restoration of the accurate contour and dimension of the trochlear notch of the olecranon and early ROM exercise will lead to good result in transolecranon fracture-dislocation cases.

Keyword

Elbow; Trochlear notch; Transolecranon fracture-dislocation

MeSH Terms

Elbow*
Follow-Up Studies
Fractures, Comminuted
Humans
Methods
Olecranon Process