Suture anchor fixation of displaced XXXX in the elderly: a case series and surgical technique.

@entity1 @entity73 @entity130 @entity174
BACKGROUND: Olecranon @entity174 are common in elderly @entity1 , causing significant @entity73 . Traditional surgical treatments are often complicated by hardware failure and prominence, frequently requiring reoperation. To address these concerns, a suture anchor fixation technique was developed and clinically evaluated. METHODS: A consecutive series of elderly @entity1 treated with this technique from 2006 to 2013 at a single institution were studied. All cases were surgically repaired with nonmetallic fully threaded suture anchors in a double-row fashion. Clinical outcome measures including the shortened Disabilities of the Arm, Shoulder, and Hand score, the Oxford Elbow Score, and the 12-Item Short Form Health Survey score were obtained. RESULTS: Eight female @entity1 with Mayo IIA or IIB @entity174 were identified. The mean age of the @entity1 at time of operation was 73.5      10.7  years (range, 59.3-88.8  years). The average time from @entity130 was 5.7     3.7  days. The average follow-up was 5.1     2.5  years (range, 0.8-7.4  years). Six @entity1 were available for long-term follow-up; 1 @entity1 had died, and 1 @entity1 was unable to be contacted despite multiple attempts. There were no intraoperative complications or reoperations. All 8 @entity1 healed uneventfully in an acceptable position without displacement. Postoperatively, the average Oxford Elbow Score was 47.17      2.04; the average shortened Disabilities of the Arm, Shoulder, and Hand score was 6.43      9.47; and the average 12-Item Short Form Health Survey scores were 49.02      16.59 and 55.38      4.05 for the physical and mental component scales, respectively. CONCLUSION: Suture anchor fixation of @entity174 in the elderly population provides excellent long-term radiographic and clinical outcomes without hardware complications associated with traditional fixation methods.
