{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:26:58Z","timestamp":1789518418709,"version":"build-2803163510"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>This study reports on olecranon osteotomy implant removal rates, fixation types, and associated complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Multicentre case series.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Patients were identified through an electronic medical database at one Level 1 trauma center and three Level 2 trauma centers.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Two hundred thirty-five patients were identified through the database, of which 92 patients met inclusion criteria.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Patients underwent olecranon osteotomy for fixation of distal humerus fractures and the implant used was at the surgeon's discretion.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurement:<\/jats:title>\n            <jats:p>Implant removal rate.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Thirty-four of 92 (37.0%) patients underwent removal of implant from their olecranon osteotomy. Implant removal rates were as follows: 28 of the 63 patients for tension band wiring (TBW) (44.4%), 6 of the 18 patients for plates (33.3%), 0 of the 1 patient for cable-pin, and 0 of the 10 patients for osteotomies fixed with a screw fixation. Screw fixation was removed less frequently than TBW (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.01). Screws were less commonly removed than all other fixation types (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.01). TBWs (28\/63) were more commonly removed than all other implants (6\/29) (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05). The nonunion rate for olecranon osteotomies was 3.3%. TBWs (18\/18) are more likely to be removed for implant irritation than plates. TBWs had an odds ratio of 3.29 for requiring implant removal if they were left &gt;1 mm off of the olecranon tip.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>In this study, 34 of the 92 (37%) patients undergoing an olecranon osteotomy for treatment of a distal humerus fracture required removal of olecranon implant. Screw fixation (0\/10) was found to be removed less frequently than TBW fixation 28 of the 63 patients (44.4%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001979","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T18:01:46Z","timestamp":1603216906000},"page":"265-270","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":21,"title":["Olecranon Osteotomy Implant Removal Rates and Associated Complications"],"prefix":"10.1097","volume":"35","author":[{"given":"Alexander","family":"Meldrum","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Dalhousie University, Halifax, NS, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory","family":"Kwong","sequence":"additional","affiliation":[{"name":"Southern California Orthopaedic Institute, University of Los Angeles, Los Angeles, CA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Archibold","sequence":"additional","affiliation":[{"name":"Division of Neurology, University of Saskatchewan, Saskatoon, SK, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cinats","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, SUNY Upstate Medical University, Syracuse, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prism","family":"Schneider","sequence":"additional","affiliation":[{"name":"Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250614","first-page":"961","article-title":"Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique","volume":"89","author":"Sanchez-Sotelo","year":"2007","journal-title":"J Bone Joint Surg Am."},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/00005131-200603000-00002","article-title":"The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus","volume":"20","author":"Coles","year":"2006","journal-title":"J Orthop Trauma."},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1067\/mse.2001.116517","article-title":"Posterior surgical approaches to the elbow: a comparative anatomic study","volume":"10","author":"Wilkinson","year":"2001","journal-title":"J Shoulder Elbow Surg."},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1097\/00003086-199611000-00027","article-title":"Intraarticular distal humerus fractures","volume":"332","author":"Kundel","year":"1996","journal-title":"Clin Orthop Relat Res."},{"key":"R5-20250614","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/01.TA.0000154058.20429.9C","article-title":"The results of open reduction and internal fixation in elderly patients with severe fractures of the distal humerus: a critical analysis of the results","volume":"58","author":"Huang","year":"2005","journal-title":"J Trauma."},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/00003086-198703000-00016","article-title":"Intraarticular fractures of the distal humerus in the adult","volume":"216","author":"Gabel","year":"1987","journal-title":"Clin Orthop Relat Res."},{"key":"R7-20250614","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/S0020-1383(02)00009-8","article-title":"Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases","volume":"33","author":"Gupta","year":"2002","journal-title":"Injury."},{"key":"R8-20250614","first-page":"659","article-title":"Surgical treatment of intercondylar fractures of the humerus in adults","volume":"28","author":"Safran","year":"1999","journal-title":"Am J Orthop."},{"key":"R9-20250614","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/0020-1383(95)93495-4","article-title":"Operative fractures achieved treatment of type C intra-articular of the distal humerus\u202f: the role of stability at surgery on final outcome","volume":"26","author":"Papaioannou","year":"1995","journal-title":"Injury."},{"key":"R10-20250614","doi-asserted-by":"crossref","first-page":"226","DOI":"10.2106\/00004623-198567020-00008","article-title":"Intercondylar fractures of the humerus. 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