[Report of 11 cases of the comminuted olecranon fracture treatment with anatomically preshaped locking compression plate (LCP)].

OBJECTIVE: To discuss the treatment effect of comminuted olecranon fractures with anatomically preshaped locking compression plate. METHODS: From August 2009 to May 2011,11 cases of comminuted olecranon fractures were treated, and their average age was 52 years. According to Mayo classification, 9 cases were of type IIB and 2 of type IIIB. All cases accepted open reduction and internal fixation with anatomically preshaped locking compression plate. After operation, all the patients were followed up regularly. X-rays were performed to evaluate fracture healing, and function of affected elbow were evaluated according to Broberg & Morrey elbow performance score. RESULTS: With follow-up time for 2 to 20 months (average 8.4 months), all patients attained fracture healing, and the fracture healing time was 7 to 18 weeks (average 11 weeks). According to Broberg & Morrey elbow performance score, 4 cases were excellent, 6 good, and 1 fair. The total excellent and good rate was 90.9%. Heterotopic ossification occurred in 1 case, and obvious limited ROM occurred in 1 case. CONCLUSION: Using anatomically preshaped locking compression plate to treat comminuted olecroanon fractures can attain stable fixation, perform early motion, and get satisfied results.