Study of Proximal Ulna Fracture Treated by Various Modalities

Abstract

INTRODUCTION The elbow joint and superior radio-ulnar joint together form one of the most important joints of the body which help in various day to day activities of life. (1) Proximal ulna fracture is among the most widely recognized by orthopaedic surgeons largely because of notoriously poor results associated with treatment of these injuries in adults.(2) The goals of proximal ulna fracture management are to restore and maintain joint stability, articular congruity, strength, a pain free arc of functional elbow motion and to allow early mobilization so as to prevent stiffness of the elbow joint. MATERIAL AND METHOD This is a prospective cohort study of 20 patients treated at Dhiraj General Hospital forolecrenon fracture between APRIL, 2015 to 31st SEPTEMBER, 2017. Adult patients with traumatic isolated Proximal ulna fractures were enrolled in our study. RESULT : In our study, out of 20 patients, 15 were males & 5 were females . Average age of patients were 39.95 years. 18 Patients were treated with tension band wiring , 1 patient treated with Cannulated-cancellous screw and 1 patient treated with Rush pin. At final followup 15 (75% ) patients treated by TBW with K-wire had excellent result, 3 (15 %)patients treated by TBW with K-wire had good result, 1 patient treated by TBW with K-wire (5 %) had fair result and 1 patient (5%) treated by TBW xiii with Rush pin had poor result . Superficial infection was seen in 2 patients, implant Impingement in 3 patients and stiffness of elbow joint was seen in 4 patients. CONCLUSION There was 100% union rate achieved at the end of 6 months. Treatment of choice for olecranon fracture depends on fracture type. Simple two-part transverse fracture is best treated with K-wiring and tension band wiring whereas oblique or comminuted fractures are best treated with platting.