This plate is mostly used for complex extra- and intra-articular olecranon fractures. These may also be used for other conditions such as pseudoarthrosis of the proximal ulna, osteotomies and simple olecranon fractures. This type of plate provides proximal extension with multiple screw options. This pate secures the olecranon, thus facilitating faster recovery from fractures. These plates are specifically designed to counteract the pressure and impacts of the triceps muscle.
The surgeon examines the patient’s X-Ray, CT or the physical condition, constantly monitoring the vitals. Once the patient is medically ready for the surgery, the surgeon counsels the patient and the attendees regarding the expected results of the surgery. In case the patient is not fit for the surgery, the doctor may opt for an external fixation system as a temporary solution.
The patient is placed in a position suitable to the surgeon, either in the prone or the lateral position with the elbow arched over a side rest.
After the fracture is reduced directly or indirectly (depending upon the type and degree of the fracture), temporary fixation is done using K-wires.
Depending on the condition of the patient, the surgeon prescribes suitable antibiotics prior to the surgery to ensure complete healing. This also minimizes the occurrences of post-operative infections.
An incision is made posterior from the supracondylar area at a place around 5 cm distal to the fracture. The incision is made in such a way that the ulnar nerve is protected.
Post the provisional fixation of the fracture, the plate of a suitable measurement is affixed to the proximal fractured fragment. The main precaution that has to be kept in mind is that the plate should not block full extension. The plate may have to be bent a little to adapt to the shape of the bone.The plate is then attached temporarily, using a cortex screw. Using a K-wire, the screw position and length is determined in the proximal region. After this, the suitable screw is inserted manually or using a tool, across all the positions required.