![]() In der operativen Kohorte zeigte sich eine signifikant erhöhte Komplikationsrate. Die mittlere Flexion des Ellbogens lag bei 133° (106–140°) mit einem durchschnittlichen Rückstand bei der Extension von 15°. Durchschnittlich betrug der MEPI 95,1 und der DASH-Score 12,3. In allen Studien wurde über gute klinische Ergebnisse für die nichtoperative Therapie von Ellbogenfrakturen berichtet. Die mittlere Nachbeobachtungsdauer betrug 10,7 Monate. ![]() In die Auswertung wurden 2 retrospektive Fallserien, eine prospektive Fallstudie und eine randomisierte kontrollierte Studie eingeschlossen ( n = 70). Sekundäre Endpunkte waren Schmerz, Bewegungsumfang („range of motion“, ROM), Entwicklung einer Pseudarthrose und Komplikationen. Primäre Endpunkte waren der Mayo Elbow Performance Index (MEPI) und der Wert im Fragebogen Disabilities of the Arm, Shoulder and Hand (DASH). Methodenĭazu durchsuchten die Autoren die Literatur zur konservativen Behandlung von Olekranonfrakturen bei älteren Patienten mit einem Mindestalter von 70 Jahren. Ziel der vorliegenden Studie war es, die klinischen Ergebnisse der konservativen Behandlung von Olekranonfrakturen bei älteren Patienten anhand einer systematischen Übersicht über die Literatur zu ermitteln. Daher wurde in den letzten Jahren die konservative Behandlung von Olekranonfrakturen bei älteren Patienten von verschiedenen Autoren untersucht. Allerdings wurde in einigen Studien über erhöhte Komplikationsraten bei älteren Patienten berichtet. While ORIF remains the gold standard, nonoperative treatment should be considered in the elderly patient in light of the recently published literature.ĭie meisten Olekranonfrakturen werden mittels offener Reposition und Fixateur interne (ORIF) behandelt, was im Wesentlichen zu guten Ergebnissen führt. However, the literature on the treatment of olecranon fractures in elderly patients is limited. Nonoperative treatment of olecranon fractures seems to provide acceptable clinical results in the elderly. The operative cohort showed a significantly increased complication rate. Mean flexion of the elbow was 133° (106–140°) with a mean lag of extension of 15°. The mean MEPI was 95.1 and the mean DASH score was 12.3. All studies reported good clinical results for nonoperative treatment of olecranon fractures. Two retrospective case series, one prospective case study, and one randomized controlled trial were included ( n = 70). Secondary outcome parameters were pain, range of motion (ROM), development of nonunion, and complications. Primary outcome parameters investigated were the Mayo Elbow Performance Index (MEPI) and the Disabilities of the Arm, Shoulder and Hand (DASH) score. We systematically reviewed the literature on nonoperative treatment of olecranon fractures in patients with a minimum age of 70 years. The aim of this study was to evaluate the clinical results of nonoperative treatment of olecranon fractures in elderly patients by means of a systematic review of literature. Therefore, nonoperative treatment of olecranon fractures in the elderly patient has been investigated by several authors in recent years. ![]() However, some studies have reported increased complication rates in the elderly. It does not store any personal data.Most olecranon fractures are treated with open reduction and internal fixation (ORIF) leading largely to good clinical results. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. ![]() The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly.
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