TITLE:
Aseptic Pseudoarthrosis of Olecranon: Epidemiological Features and Therapeutic Assessment
AUTHORS:
Raphael Dallo Gogoua, Moctar Traoré, Bi Yao, Armand Yépié, Maurice Kouamé, Michel Anoumou
KEYWORDS:
Fracture, Pseudoarthrosis, Olecranon, Elbow
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.7 No.4,
April
30,
2017
ABSTRACT: Introduction: Pseudoarthrosis is one of the most dreadful complications of olecranon
fractures. It seriously compromises the function of the elbow. Objectives: To determine the epidemiological factors of this complication in order to
prevent them and to assess the results of the therapeutic management. Material
and method: This was a retrospective study that involved patients with
olecranon pseudoarthrosis who were treated in the department between January
2006 and December 2016. The diagnosis of pseudoarthrosis was made at least 6 months after the management of the
fracture. There were 16 men and 5 women. We analyzed the epidemiological
factors, the treatment of pseudoarthrosis, and the postoperative
outcome. Results: The incriminated factors were the complexity of
the fracture line and the
quality of treatment of the recent fracture. The osteosynthesis of
pseudoarthrosis is similar to that of recent fractures. It requires in some
cases a bone graft. The results of the treatment are satisfactory with 100% of
consolidation, and a good functional result in 75% of the cases. Conclusion: The treatment of olecranon pseudoarthrosis is based above all on prevention by
an optimal management of the recent fractures. The curative treatment gives
satisfactory functional results.