Surgical technique and preliminary results of a new fixation concept for olecranon fractures in children.

The authors report preliminary results of an original fixation technique used for the treatment of olecranon fractures in six children. This technique uses two threaded pins fitted with an adjustable lock, introduced through a minimal skin incision. With a mean follow-up of 14 months, clinical results are excellent in five cases and good in one case. Radiologic results are satisfying, with five anatomic reductions and without any secondary displacement. No growth impairment has been observed, but the follow-up period is still too short to conclude that this technique is superior, as far as this factor is concerned. However, the simplicity of the technique and its efficiency have led the authors to use it routinely for this fracture type.