early clinical outcomes of polyaxial locking cap plate fixation for fixation of displaced olecranon fractures

Objectives: the purpose of this study is to evaluate the outcomes of a polyaxial locking plate utilizing locking-cap fixation for treatment of patients with displaced olecranon fractures.methods: a retrospective review was performed for all consecutive patients at two institutions with displaced olecranon fractures treated with a polyaxial locking plate. patients were required to have at least 1-year follow up. clinical outcomes including the disabilities of the arm, shoulder, and hand (dash) score, single assessment numeric evaluation (sane), along with a likert-scaled satisfaction survey ranging between 1-5 (1= very unsatisfied and 5= very satisfied) were collected.results: the plate osteosynthesis was performed on 24 patients with displaced olecranon fractures. functional outcome scores were collected on 19 (79.2%) patients. the mean age at the time of surgery was 57.9 years (range, 23 to 78) and mean clinical follow-up was 21.0 ± 6.6 months (range, 12-34 months). all patients achieved osseous union in an acceptable position. four (16.7%) patients complained of plate related pain and 6 (25%) patients complained of postoperative stiffness. complications were found in 3 (12.5 %) patients, which included two neuropathies and one hardware failure in which a patient presented following a fall with a broken screw. no patients required revision surgery nor removal of hardware. a total of 16 (84%) patients were somewhat to very satisfied. the mean sane score was 87.8 ± 14.6 (range: 45-100) and the mean dash score was 13.8 + 17.5 (range: 0-55.8). seventeen (89%) patients rated their elbows as 75% or better on sane assessment and 16 (84%) patients achieved dash scores of less than 30.conclusion: polyaxial plate fixation utilizing locking-cap technology resulted in excellent short-term functional outcomes in patients with displaced olecranon fractures. further follow-up is needed to determine the long-term outcomes of locking-cap constructs for olecranon fractures.