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Intramedullary nailing
1%
10/1743
Tension band with intramedullary screw
9%
150/1743
Triceps advancement
13/1743
Plate and screw fixation
89%
1554/1743
Total elbow arthroplasty
0%
4/1743
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The radiograph shows a comminuted olecranon fracture with extension distally past the coronoid. Plate fixation is recommended for olecranon fractures with significant comminution and those that extend distal to the midpoint of the trochlear notch, which is present in this instance. The referenced article is an excellent review of olecranon fracture treatment options, including nonoperative treatment, tension band wiring, dorsal plating, and excision with triceps advancement.
4.2
(23)
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