Basic Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2015; 6(9): 705-711
Published online Oct 18, 2015. doi: 10.5312/wjo.v6.i9.705
Comminuted olecranon fracture fixation with pre-contoured plate: Comparison of composite and cadaver bones
David A Hamilton Jr, Danielle Reilly, Felix Wipf, Srinath Kamineni
David A Hamilton Jr, Danielle Reilly, Srinath Kamineni, Elbow Shoulder Research Centre, Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY 40536-0298, United States
Felix Wipf, Stryker Trauma AG, CH-2545 Selzach, Switzerland
Author contributions: All authors contributed to the study design, performance, data analysis, and manuscript drafting and review.
Institutional review board statement: Not applicable.
Institutional animal care and use committee statement: Not applicable.
Conflict-of-interest statement: All authors declare that they have no conflict of interest related to the publication of this manuscript. This study was supported by research funds from Stryker Corp.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at Dryad repository, who will provide a permanent, citable and open-access home for the dataset.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Srinath Kamineni, MD, Associate Professor, Director of Elbow Shoulder Research Centre, Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, 740 South Limestone, Suite K401 KY Clinic, Lexington, KY 40536-0298, United States. srinathkamineni@gmail.com
Telephone: +1-859-3235533 Fax: +1-859-3232142
Received: March 18, 2015
Peer-review started: March 28, 2015
First decision: May 13, 2015
Revised: July 18, 2015
Accepted: August 10, 2015
Article in press: August 11, 2015
Published online: October 18, 2015
Core Tip

Core tip: Comminuted olecranon fractures present a clinical and surgical challenge. Fixation with traditional tension band constructs is difficult due to comminution involving the articular surface. We describe a method if achieving fixation using a precountoured olecranon plate. In our biomechanical model using composite bones as well as cadaveric specimen, this method of fixation provides fixation of comminuted olecranon fractures capable of withstanding the expected physiologic force in the early postoperative period.