Severely Comminuted Transolecranon Fracture Fixation with the Help of Medial Humerus Anatomical Plate: A Case Report and Educational Corner

Seyed Peyman Mirghaderi; Sadula Sharifpour; Amirhossein  Ghaseminejad Raeini; Maryam Salimi; Alireza Moharrami; Seyed Hadi Kalantar

doi:10.18502/jost.v8i3.9910

Seyed Peyman Mirghaderi Medical Student, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iranv
Sadula Sharifpour Resident, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Amirhossein Ghaseminejad Raeini Medical Student, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Maryam Salimi Medical Student, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Alireza Moharrami Resident, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Seyed Hadi Kalantar Assistant Professor, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v8i3.9910

Keywords: Elbow; Elbow Joint; Fracture Dislocation; Olecranon Process

Abstract

Background: Transolecranon fracture is an unstable intra-articular injury in the elbow caused by high-energy trauma. Here, we introduce a medial humerus plate for severely comminuted transolecranon fracture.

Case Report: This article presents the case of a 29-year-old man who had a severely comminuted transolecranon fracture due to a motorcycle accident. A dorsal longitudinal approach was used in order to reach the fracture site. An olecranon anatomical plate and a medial humerus plate were applied for fixation, a new treatment method. The range of motion (ROM) was complete at a two-month follow-up, and the Mayo Elbow Performance Score (MEPS) was obtained 100 with no signs of complications.

Conclusion: Despite the several methods available for fixing transolecranon fractures, using the medial humerus plate, especially in severe comminution, can yield acceptable results. It should be considered in future studies to prove its efficacy in this type of fracture.