Executive Editor: Peter Trafton, Michael Baumgaertner

Authors: Peter Kloen, David Ring

Proximal forearm Posterior fracture dislocation

back to skeleton

Glossary

Open reduction internal fixation
Indication summary Skill Equipment
Most posterior olecranon fracture dislocations benefit from plate and screw fixation Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Contraindications

  • Soft tissue severely compromised

Advantages

  • Restores stability and alignment

Disadvantages

  • Prominent plate on elbow
Hinged external fixation following ORIF
Indication summary Skill Equipment
ORIF does not provide sufficient elbow stability Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Advantages

  • Holds elbow aligned while early healing is established

Disadvantages

  • Places nerves at risk
  • Cumbersome
  • Pin-track infections
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2018-04-30