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DTSTAMP:20260611T223816Z
SUMMARY:Gustav Cornefjord Voigt - Institutionen för kliniska vetenskaper\,
  Malmö
DESCRIPTION:Kontakt: gustav.cornefjord_voigt@med.lu.se\n\nTitle:&nbsp\;Beha
 ndlingsval&nbsp\;och&nbsp\;utfall&nbsp\;efter&nbsp\;olekranonfrakturer&nbs
 p\;(treatment options and outcome for olecranonfractures)Main&nbsp\;superv
 isor:&nbsp\;Daniel WengerReviewers:&nbsp\;Anna-Paulina&nbsp\;Wiedel&nbsp\;
 and&nbsp\;David WennergrenAbstractBackgroundOlecranon fractures are common
 \, but current treatment methods are associated&nbsp\;with&nbsp\;high&nbsp
 \;complication&nbsp\;and&nbsp\;reoperation&nbsp\;rates.&nbsp\;This&nbsp\;p
 roject&nbsp\;aims to generate scientific evidence to improve treatment rec
 ommendations.At&nbsp\;our&nbsp\;clinic\,&nbsp\;we&nbsp\;have&nbsp\;long&nb
 sp\;used&nbsp\;a&nbsp\;surgical&nbsp\;technique—cerclage&nbsp\;fixation
 — that&nbsp\;we&nbsp\;believe&nbsp\;leads&nbsp\;to&nbsp\;fewer&nbsp\;com
 plications&nbsp\;and&nbsp\;reoperations&nbsp\;compared&nbsp\;to the standa
 rd method\, tension band wiring. This will be evaluated in a retrospective
 &nbsp\;study&nbsp\;(Study&nbsp\;1)&nbsp\;and&nbsp\;a&nbsp\;prospective&nbs
 p\;randomized&nbsp\;controlled&nbsp\;trial (Study 2).Recently\,&nbsp\;non-
 operative&nbsp\;treatment&nbsp\;has&nbsp\;also&nbsp\;been&nbsp\;proposed&n
 bsp\;for&nbsp\;displaced fractures\, particularly in elderly patients. Stu
 dy 3 will investigate this approach retrospectively.Non-displaced fracture
 s are typically managed non-operatively with expectedly&nbsp\;good&nbsp\;o
 utcomes\,&nbsp\;although&nbsp\;support&nbsp\;for&nbsp\;this&nbsp\;is&nbsp\
 ;lacking&nbsp\;in&nbsp\;the literature. Study 4 aims to evaluate this with
  long term follow-up.Research&nbsp\;QuestionsWhat&nbsp\;are&nbsp\;the&nbsp
 \;outcomes&nbsp\;when&nbsp\;displaced&nbsp\;but&nbsp\;stable&nbsp\;olecran
 on&nbsp\;fractures&nbsp\;are treated with cerclage fixation compared with 
 tension band wiring?What&nbsp\;are&nbsp\;the&nbsp\;outcomes&nbsp\;followin
 g&nbsp\;non-operative&nbsp\;treatment&nbsp\;of&nbsp\;displaced&nbsp\;and n
 on-displaced olecranon fractures respectively?Preliminary&nbsp\;ResultsStu
 dy 1 found that cerclage fixation in displaced\, stable fractures was asso
 ciated with lower reoperation (13% vs. 27%) and complication rates (18%&nb
 sp\;vs.&nbsp\;45%)&nbsp\;compared&nbsp\;with&nbsp\;tension&nbsp\;band&nbsp
 \;wiring.&nbsp\;Study&nbsp\;2&nbsp\;is&nbsp\;ongoing&nbsp\;and will furthe
 r evaluate these methods in a RCT.No&nbsp\;results&nbsp\;are&nbsp\;yet&nbs
 p\;available&nbsp\;from&nbsp\;Study&nbsp\;3.Preliminary results from Study
  4 show no secondary displacements and low complication rates. Four patien
 ts had mild complications\, one polytrauma patient had a severe complicati
 on\, and 18% reported transient stiffness after cast&nbsp\;removal—all&n
 bsp\;regained&nbsp\;functional&nbsp\;range&nbsp\;of&nbsp\;motion&nbsp\;wit
 hin&nbsp\;18&nbsp\;days.&nbsp\;A&nbsp\;90- degree cast position appears to
  be safe\, though patient-reported outcomes remain to be analyzed.Signific
 anceThe clinically relevant differences in outcomes observed in Study 1 ju
 stify further&nbsp\;investigation&nbsp\;in&nbsp\;Study&nbsp\;2\,&nbsp\;whi
 ch&nbsp\;aims&nbsp\;to&nbsp\;provide&nbsp\;Level&nbsp\;1&nbsp\;evidence&nb
 sp\;for surgical method selection. Study 3 may contribute to the body of e
 vidence supporting non-operative treatment of selected displaced fractures
 \, offering data to inform future guidelines and improve patient care. Stu
 dy 4 may influence immobilization practices for undisplaced fractures and 
 reduce unnecessary radiographic follow-ups.Published studiesWenger&nbsp\;D
 \,&nbsp\;Cornefjord&nbsp\;G\,&nbsp\;Rogmark&nbsp\;C.&nbsp\;Cerclage&nbsp\;
 fixation&nbsp\;without&nbsp\;K-wires is associated with fewer complication
 s and reoperations compared with tension band wiring in stable displaced o
 lecranon fractures in elderly patients. Arch Orthop Trauma Surg. 2021.Corn
 efjord G\, Kostogiannis I\, Rogmark C\, Jerrhag D\, Wenger D. The With&nbs
 p\;Or&nbsp\;Without&nbsp\;Olecranon&nbsp\;K-wire&nbsp\;(WOW&nbsp\;OK)&nbsp
 \;Trial&nbsp\;of&nbsp\;tension&nbsp\;band&nbsp\;wire fixation versus cercl
 age fixation without K-wires in displaced stable olecranon&nbsp\;fractures
 :&nbsp\;study&nbsp\;protocol&nbsp\;for&nbsp\;a&nbsp\;randomized&nbsp\;cont
 rolled&nbsp\;trial.&nbsp\;Trials. 2023 Aug 29\;24(1):559. doi: 10.1186/s13
 063-023-07566-9. PMID:37641082\;&nbsp\;PMCID:&nbsp\;PMC10464474.A&nbsp\;me
 thodological&nbsp\;description&nbsp\;of&nbsp\;a&nbsp\;surgical&nbsp\;techn
 ique&nbsp\;used&nbsp\;in&nbsp\;Study&nbsp\;2&nbsp\;will&nbsp\;be be submit
 ted for peer review and is enclosed in manuscript form.An&nbsp\;abstract&n
 bsp\;related&nbsp\;to&nbsp\;Study&nbsp\;4\,&nbsp\;which&nbsp\;has&nbsp\;be
 en&nbsp\;submitted&nbsp\;for&nbsp\;presentation&nbsp\;at an international 
 conference\, is also enclosed.\n\nMer information om händelsen: https://w
 ww.intramed.lu.se/evenemang/gustav-cornefjord-voigt-institutionen-kliniska
 -vetenskaper-malmo
DTSTART;TZID=GMT:20250515T110000
DTEND;TZID=GMT:20250515T110000
LOCATION:Mötesrummet Insula på ortopedens administrativa avdelning\, plan
  11\, Inga Marie Nilssons gata 47\, 20502 Malmö
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