Olecranon Fracture Fixation Surgery
A Surgical Procedure to Stabilise and Repair a Fractured Olecranon in the Elbow
Olecranon fracture fixation involves using surgical techniques to stabilise and repair the fractured bone. This procedure is commonly performed when the fracture is displaced or when the joint function is impaired.
Common Reasons for the Procedure
- A fall or direct impact resulting in a displaced olecranon fracture.
- Inability to straighten or bend the elbow due to instability.
- Persistent pain and swelling that do not improve with non-surgical treatment.
Goals of the Procedure:
- Restore alignment and stability of the elbow joint.
- Relieve pain and swelling caused by the fracture.
- Improve range of motion and enable normal use of the arm.
Preparation for Surgery
Preparing for surgery is essential to achieving the best outcomes.
Steps in Preparation:
- Pre-Surgical Consultation:
- Dr Ben McGrath will review imaging studies, such as X-rays or CT scans, to assess the fracture and plan the surgical approach.
- Pre-Surgical Instructions:
- Follow fasting guidelines and discuss medications that may need to be paused, such as blood thinners.
- Provide your complete medical history, including allergies and past surgeries.
- Lifestyle Adjustments:
- Avoid smoking to support proper bone healing.
- Consider strengthening exercises for the surrounding muscles to aid recovery post-surgery.
What Happens During the Surgery?
Olecranon fracture fixation is typically performed as an open procedure under general or regional anaesthesia.
Procedure Steps:
- Anaesthesia:
- General anaesthesia or a regional block will be used to ensure comfort throughout the procedure.
- Surgical Technique:
- An incision is made over the elbow to access the fractured bone.
- The fracture fragments are realigned, and stabilisation is achieved using hardware such as screws, plates, or wires.
- Securing the Fixation:
- The hardware is securely placed to allow the bone to heal in the correct position.
- Closing the Incision:
- The incision is closed with sutures or staples, and a sterile dressing is applied.
Understanding the Risks
As with any surgical procedure, there are potential risks associated with olecranon fracture fixation.
Common Risks:
- Temporary swelling, bruising, or discomfort.
- Minor stiffness in the elbow during the initial recovery period.
Rare but Serious Risks:
- Infection at the surgical site.
- Hardware complications, such as loosening or irritation.
- Nerve or blood vessel injury.
Steps are taken to minimise these risks, including sterile techniques and post-operative care.
What to Expect After Surgery
Immediate Post-Operative Care:
- The elbow may be immobilised in a splint or brace to protect the repair and aid healing.
- Pain will be managed with prescribed medications.
Discharge Instructions:
- Keep the surgical site clean and dry as directed.
- Avoid heavy lifting or strenuous activities until cleared by Dr Ben McGrath.
- Attend all follow-up appointments to monitor the healing process.
Rehabilitation and Recovery
Recovery involves a gradual return to normal activities through physiotherapy and self-care.
Recovery Milestones:
- Weeks 1–3:
- Limited movement exercises may begin under supervision to prevent stiffness.
- Weeks 4–6:
- Gradual introduction of range-of-motion exercises to improve mobility.
- Months 2–3:
- Strengthening exercises to restore function and stability.
Restrictions During Recovery:
- Avoid weight-bearing activities on the affected arm until advised.
- Follow physiotherapy guidelines for safe and effective recovery.
Long-Term Outcomes
Olecranon fracture fixation aims to restore elbow function and reduce pain.
Expected Improvements:
- Pain relief and reduced swelling.
- Restoration of joint stability and alignment.
- Improved ability to perform daily activities.
Maintenance of Results:
- Adhere to physiotherapy and follow-up care recommendations.
- Protect the elbow from future injuries to ensure long-term success.