Table 2.
This table presents a list of the included studies, summarizing the number of patients, classification of fracture, associated lesions, age at surgery, surgical technique performed, length of follow-up, results and conclusions.
| Authors | Year of pubblication | Title | Study type | Number of cases (surgically treated) | Classification of fracture | Associated fractures | Average age at surgery | Surgical treatment | Length of follow-up | Final results |
|---|---|---|---|---|---|---|---|---|---|---|
| Caterini et al. | 2002 | Fractures of the olecranon in children. Long-term follow-up of 39 cases. | Retrospective | 5 | Caterini: 5 types | NO | 7.4 years | ORIF cerclage wiring (4 cases) one screw (1 case) |
32 years | Good: 4 cases poor: 1 case (inadequate reduction) |
| Karlsson et al. | 2002 | Fractures of the olecranon during growth: a 15–25-year follow-up. | Retrospective | 11 | Horne and Tanzer: 3 types | NO | 11 years | ORIF figure-of-eight wiring (6 cases) tension band wiring (2 cases) Rush pin (1 case) CRIF percutaneous pinning (2 cases) |
19 years | Excellent: 9 cases good: 2 cases (occasional symptoms) |
| Gicquel et al. | 2003 | Surgical technique and preliminary results of a new fixation concept for olecranon fractures in children. | Retrospective | 6 | Bracq: 3 types | 2 (radial head) |
10.2 years | CRIF two threaded pins (percutaneous) |
14 months | Excellent: 5 cases good: 1 case (limited ROM—10° flexion + associated radial head fracture) |
| Gortzak et al. | 2006 | Pediatric olecranon fractures: open reduction and internal fixation with removable Kirschner wires and absorbable sutures. | Retrospective | 6 | Intra-articular displaced fractures (no specific classification) |
3 (humeral condyle—1, radial head—2) | 9.7 years | ORIF removable K wires and figure-of-eight suture |
13 months | Excellent: 5 cases good: 1 case (limited ROM—10° extension) |
| Corradin et al. | 2016 | Outcome of isolated olecranon fractures in skeletally immature patients: comparison of open reduction and tension band wiring fixation versus closed reduction and percutaneous pinning. | Retrospective | 22 | AO PCCF classification: 3 types | NO | 10.5 years | ORIF tension band wiring (10 cases) CRIF percutaneous 4.5mm cannulated screw (12 cases) |
17.9 momths | Quick DASH score: 1.82/3.42 no statistical significant difference between the 2 groups (limited ROM—20° extension—4 patients) |
| Kim et al. | 2017 | Early range of motion exercise in pediatric patients with olecranon fractures treated with tension band suture with double loops and double knots. | Retrospective | 12 | AO PCCF classification: 3 types | 2 (radial head) | 10.6 years | ORIF K wires and figure-of-eight suture early ROM | 12 months | Perfect MEPS: 12 cases |
| Perkins | 2018 | Olecranon fractures in children and adolescents: outcomes based on fracture fixation. | Retrospective | 46 | Intra-articular displaced fractures (no specific classification) | 5 (radial head—4 distal radius—1) | 12.3 years | ORIF tension band wiring (17 cases) tension band suture (29 cases) | 9.1 months | Revision fixation (TBW: 1 case TBS: 4 cases) children eavier than 50 kg having higher rates of fixation failure with TBS |
| Li et al. | 2022 | Short-Term Outcomes of Herbert Screw Fixation for Isolated Olecranon Fractures in Children: A Single-Institution Retrospective Study. | Retrospective | 14 | Mayo: 3 types | NO | 11.3 years | CRIF two 3 mm Herbert screw (percutaneous) | 11.9 months | Quick DASH score: 1.58 |