{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:38:13Z","timestamp":1777984693999,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Posterior olecranon fracture dislocations (<jats:styled-content style=\"fixed-case\">POFDs<\/jats:styled-content>) were considered posterior Monteggia lesions, which were less described in the literature. The purpose of this study was to provide a systematic review of the diagnosis, treatment, prognosis, and complications of <jats:styled-content style=\"fixed-case\">POFDs<\/jats:styled-content> in adults. A systematic review was performed to identify all relevant studies on the <jats:styled-content style=\"fixed-case\">POFDs<\/jats:styled-content> in the <jats:styled-content style=\"fixed-case\">PubMed<\/jats:styled-content>, Web of Science, Embase, and <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content> databases. The methodological quality of the studies was scored using the Methodological Index for <jats:styled-content style=\"fixed-case\">Non\u2010Randomized<\/jats:styled-content> Studies (<jats:styled-content style=\"fixed-case\">MINORS<\/jats:styled-content>). A total of 117 patients were identified in the nine studies selected. The high\u2010energy injuries accounted for 42.7% of the included studies. The rates of concomitant coronoid process, radial head fractures, and lateral collateral ligament injury were 84.6% (99\/117), 87.2% (102\/117), and 5% (6\/117), respectively. The procedure was performed with a dorsal mid longitudinal approach to reconstruct all injury components. The postoperative clinical scores included the Broberg\/Morrey rating, with a mean rating of excellent or good at 66%, the mean <jats:styled-content style=\"fixed-case\">DASH<\/jats:styled-content> score was 20.6, and the mean <jats:styled-content style=\"fixed-case\">ASES<\/jats:styled-content> score was 83. The flexion and extension arc and forearm rotation arcs were 100\u00b0 and 134\u00b0, respectively. Complications included arthrosis in 28.2% (33\/117) of cases, fracture nonunion or delayed union in 9.4% (11\/117) of cases, heterotopic ossification in 7% (8\/117) of cases, and the re\u2010operation rate was 16% (19\/117). There was nearly no postoperative ulnohumeral instability. The main characteristics of <jats:styled-content style=\"fixed-case\">POFDs<\/jats:styled-content> were disruptions of the trochlear notch, including the olecranon and coronoid processes, and severe radial head fractures, while the lateral collateral ligament was spared. Although the <jats:styled-content style=\"fixed-case\">POFDs<\/jats:styled-content> had a low frequency of instability, the prognosis was relatively poor. The <jats:styled-content style=\"fixed-case\">POFDs<\/jats:styled-content> should be considered independently.<\/jats:p>","DOI":"10.1111\/os.13820","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T05:49:24Z","timestamp":1689659364000},"page":"2235-2243","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Posterior Olecranon Fracture Dislocations in Adults: A Systematic Review"],"prefix":"10.1111","volume":"15","author":[{"given":"Jie","family":"Xiong","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Shenzhen Ping Le Orthopedic Hospital  Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7681-5316","authenticated-orcid":false,"given":"Jiyong","family":"Yang","sequence":"additional","affiliation":[{"name":"The Fifth Clinical College of Guangzhou University of Chinese Medicine  Guangzhou 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