{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:36:08Z","timestamp":1740141368274,"version":"3.37.3"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Treatment for complex olecranon fractures with metaphyseal comminution can be challenging. To improve reduction maneuvers and augment stability, we apply a small medial and\/or lateral locking compression plate (LCP) prior to placing a posterior contoured 3.5\u00a0mm\u20132.7\u00a0mm LCP. The aim is to describe our technique and outcomes of this \u201corthogonal\u201d plating technique.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material and Methods<\/jats:title>\n                <jats:p>26 patients were treated with orthogonal plating. Clinical outcome variables were available for all patients at a median of 27 months (IQR 6\u201354), and patient-reported outcomes (Q-DASH and MEPS) for 23 patients at 38 months (IQR 18\u201371).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>All fractures healed at a median of 2.0 months (IQR 1.5\u20133.8). The median elbow flexion was 120\u00b0, extension-deficit 15\u00b0, pronation 88\u00b0, and supination 85\u00b0. The median Q-DASH was 9 (IQR 0\u201322) and the median MEPS was 90 (IQR 80\u2013100). Hardware was electively removed in seven patients. One patient had a late superficial infection that resolved with hardware removal and antibiotics, and one patient had two consecutive re-fractures after two hardware removals; and healed after the second revision surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Orthogonal plating with a posterior LCP and a small medial and\/or lateral LCP is a safe technique that leads to excellent healing rates, and good clinical and patient-reported outcomes.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-024-05444-w","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T14:44:46Z","timestamp":1720190686000},"page":"3237-3245","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Orthogonal plating for complex olecranon fractures: retrospective case series with patient-reported outcomes"],"prefix":"10.1007","volume":"144","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1139-0200","authenticated-orcid":false,"given":"Tjalling Aurelius Sebastiaan","family":"Ingwersen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Kaspar","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wouter","family":"Veenendaal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Kloen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"issue":"11","key":"5444_CR1","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.1016\/j.injury.2003.12.002","volume":"35","author":"PM Rommens","year":"2004","unstructured":"Rommens PM, Kuchle R, Schneider RU, Reuter M (2004) Olecranon fractures in adults: factors influencing outcome. 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