Treatment of olecranon fractures in childhood: A systematic review

BackgroundLiterature over the last 20 years provides evidence for a surgical treatment of displaced olecranon fractures in children, this is usually obtained with commonly proposed methods, although there is no general agreement about the best recommended technique.AimIdentifying the best surgical t...

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Main Authors: Fernando De Maio, Giulio Gorgolini, Alessandro Caterini, Claudia Luciano, Dario Covino, Pasquale Farsetti
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.1046243/full
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author Fernando De Maio
Giulio Gorgolini
Alessandro Caterini
Claudia Luciano
Dario Covino
Pasquale Farsetti
author_facet Fernando De Maio
Giulio Gorgolini
Alessandro Caterini
Claudia Luciano
Dario Covino
Pasquale Farsetti
author_sort Fernando De Maio
collection DOAJ
description BackgroundLiterature over the last 20 years provides evidence for a surgical treatment of displaced olecranon fractures in children, this is usually obtained with commonly proposed methods, although there is no general agreement about the best recommended technique.AimIdentifying the best surgical technique in displaced olecranon fractures in children and the role of associated fractures in the prognosis of these lesions, by analyzing the most relevant studies on this topic.MethodsA literature search was performed in MEDLINE database and Scopus database. Articles reporting clinical outcomes of pediatric patients affected by olecranon fractures treated surgically were identified.ResultsThe initial search produced 111 studies, with 8 fulfilling the eligibility criteria of our study. Selected articles (2002–2022) included 122 patients overall.ConclusionDisplaced olecranon fractures, occurring during skeletal growth and surgically treated, generally have good results, although we are unable to recommend the best surgical treatment based on our review. In most cases, they are intra-articular fractures; thus, the overall goal is to get an anatomic reduction that in some cases cannot be obtained by percutaneous techniques. Tension band suture is the preferred device, although it is not recommended in adolescence for the high risk of fixation failure. Associated lesions may affect results.
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spelling doaj.art-af4255cf32474aacb16394d2909cfabe2022-12-22T04:39:12ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-11-011010.3389/fped.2022.10462431046243Treatment of olecranon fractures in childhood: A systematic reviewFernando De MaioGiulio GorgoliniAlessandro CateriniClaudia LucianoDario CovinoPasquale FarsettiBackgroundLiterature over the last 20 years provides evidence for a surgical treatment of displaced olecranon fractures in children, this is usually obtained with commonly proposed methods, although there is no general agreement about the best recommended technique.AimIdentifying the best surgical technique in displaced olecranon fractures in children and the role of associated fractures in the prognosis of these lesions, by analyzing the most relevant studies on this topic.MethodsA literature search was performed in MEDLINE database and Scopus database. Articles reporting clinical outcomes of pediatric patients affected by olecranon fractures treated surgically were identified.ResultsThe initial search produced 111 studies, with 8 fulfilling the eligibility criteria of our study. Selected articles (2002–2022) included 122 patients overall.ConclusionDisplaced olecranon fractures, occurring during skeletal growth and surgically treated, generally have good results, although we are unable to recommend the best surgical treatment based on our review. In most cases, they are intra-articular fractures; thus, the overall goal is to get an anatomic reduction that in some cases cannot be obtained by percutaneous techniques. Tension band suture is the preferred device, although it is not recommended in adolescence for the high risk of fixation failure. Associated lesions may affect results.https://www.frontiersin.org/articles/10.3389/fped.2022.1046243/fullolecranonfracturechildrensurgeryupper limbsurgical procedures
spellingShingle Fernando De Maio
Giulio Gorgolini
Alessandro Caterini
Claudia Luciano
Dario Covino
Pasquale Farsetti
Treatment of olecranon fractures in childhood: A systematic review
Frontiers in Pediatrics
olecranon
fracture
children
surgery
upper limb
surgical procedures
title Treatment of olecranon fractures in childhood: A systematic review
title_full Treatment of olecranon fractures in childhood: A systematic review
title_fullStr Treatment of olecranon fractures in childhood: A systematic review
title_full_unstemmed Treatment of olecranon fractures in childhood: A systematic review
title_short Treatment of olecranon fractures in childhood: A systematic review
title_sort treatment of olecranon fractures in childhood a systematic review
topic olecranon
fracture
children
surgery
upper limb
surgical procedures
url https://www.frontiersin.org/articles/10.3389/fped.2022.1046243/full
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