Outcomes of displaced olecranon fractures treated with the Olecranon Sled

Andrew J. Lovy, Isaiah Levy, Aakash Keswani, Todd Rubin, Michael R. Hausman

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Background: Tension-band wiring is largely considered the gold standard for fixation of displaced olecranon fractures despite high rates of hardware complications. The purpose of this study was to report the outcomes of displaced olecranon fractures treated with the Olecranon Sled. Methods: We retrospectively reviewed all displaced olecranon fractures from 2011-2015 treated with the Olecranon Sled. Inclusion was limited to functionally independent patients with Mayo type II fractures and minimum 12-month follow-up. We assessed clinical outcomes including range of motion; Disabilities of the Arm, Shoulder and Hand score; and Mayo Elbow Performance Score. Results: Twenty-two patients with a mean follow-up period of 31.8 months (range, 12-71 months) were included in the study. All patients indicated satisfactory outcomes. The mean Mayo Elbow Performance Score was 95.5 (range, 70-100), and the mean Disabilities of the Arm, Shoulder and Hand score was 3.1 (range, 0-18.3). The mean total arc of elbow flexion was 145° (range, 134°-158°), and the mean total arc of forearm rotation was 175° (range, 160°-180°). There were no hardware-related complications. The overall complication rate was 4.5% (1 of 22) as significant heterotopic ossification developed in 1 patient, requiring contracture release. Conclusion: The Olecranon Sled is a reliable and well-tolerated implant for the treatment of olecranon fractures. This device results in excellent functional outcomes and may obviate hardware removal.

Original languageEnglish
Pages (from-to)393-397
Number of pages5
JournalJournal of Shoulder and Elbow Surgery
Issue number3
StatePublished - Mar 2018


  • Olecranon Sled
  • Olecranon fracture
  • complications
  • hardware removal
  • outcome
  • tension band


Dive into the research topics of 'Outcomes of displaced olecranon fractures treated with the Olecranon Sled'. Together they form a unique fingerprint.

Cite this