The use of the developed combined fixator for comminuted fracture of the olecranon. Clinical case

Relevance. In modern traumatology, the most common methods of surgical treatment of fractures of the ulnar process are osteosynthesis with platinum and osteosynthesis with spokes and wire according to Weber, however, there are fractures in which none of these methods is optimal. In this clinical case, we consider a patient with a comminuted fracture of the ulnar process and the use of a developed metal fixator in order to improve the treatment outcomes of patients with this type of fracture.

Clinical Case Description. In the presented clinical case, we consider a 49-year-old patient with a comminuted fracture of the ulnar process resulting from a fall. After a standard X-ray examination and preparation. The patient underwent osteosynthesis of the left olecranon with an intramedullary pin with a metaphysical pad. Physical therapy was allowed on the first day after osteosynthesis. During the follow-up, for 12 months, the patient showed good and excellent results according to the clinical and instrumental control data.

Conclusion. According to the results of 12 months of follow-up, it can be stated that the proposed metal fixator performed well, the patient completely returned to everyday life and does not experience any difficulties when playing sports. Taking into account the small thickness of the metaphysical adjustment, only 2 mm, the patient does not experience discomfort when loading the area of surgery. The use of this implant expands the operational capabilities of a modern traumatologist, and also has a number of advantages compared to other implants, such as reducing the size of surgical access, early timing of the start of active development of movements in the elbow joint.

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