Non-surgical functional treatment for displaced olecranon fractures in the elderly.
The Bone & Joint Journal 96-B 2014 pág. 530-534
Gallucci, G. L.; Piuzzi, N. S.; Slullitel, P. A. I.; Boretto, J. G.; Alfie, V. A.; Donndorff, A.; De Carli, P.
AB : We retrospectively evaluated the clinical and radiological outcomes of a consecutive cohort of patients aged > 70 years with a displaced fracture of the olecranon, which was treated non-operatively with early mobilisation. We identified 28 such patients (27 women) with a mean age of 82 years (71 to 91). The elbow was initially immobilised in an above elbow cast in 90[degrees] of flexion of the elbow for a mean of five days. The cast was then replaced by a sling. Active mobilisation was encouraged as tolerated. No formal rehabilitation was undertaken. At a mean follow-up of 16 months (12 to 26), the mean ranges of flexion and extension were 140[degrees] and 15[degrees] respectively. On a visual analogue scale of 1 (no pain) to 10, the mean pain score was 1 (0 to 8). Of the original 28 patients 22 developed nonunion, but no patients required surgical treatment.
We conclude that non-operative functional treatment of displaced olecranon fractures in the elderly gives good results and a high rate of satisfaction