Early Clinical Outcomes of Polyaxial Locking Cap Plate Fixation for Displaced Olecranon Fractures

Document Type : LETTER TO THE EDITOR

Authors

Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China -Shoulder Research Institute, Academy of Orthopedics Guangdong Province, China

10.22038/abjs.2025.88737.4027

Abstract

We read with great interest the article titled, “Early Clinical Outcomes of Polyaxial Locking Cap Plate Fixation for Displaced Olecranon Fractures” by Gutman et al. The authors demonstrate promising short-term results with polyaxial locking plates, emphasizing high union rates and functional recovery. We commend their efforts to advance fixation strategies for these challenging fractures, and we offer the following commentary.

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References

  1. Gutman MJ, Patel MS, Connelly JW, Paxton ES, Namdari S, Horneff JG. Early Clinical Outcomes of Polyaxial Locking Cap Plate Fixation for Fixation of Displaced Olecranon Fractures. Arch Bone Jt Surg. 2025; 13:23-29.
  2. Duckworth AD, Clement ND, White TO, McQueen MM. Plate Versus Tension-Band Wire Fixation for Olecranon Fractures: A Prospective Randomized Trial. J Bone Joint Surg Am. 2017; 99:1261-1273. doi:10.2106/jbjs.16.00773.
  3. Buijze G, Kloen P. Clinical evaluation of locking compression plate fixation for comminuted olecranon fractures. J Bone Joint Surg Am. 2009; 91:2416-20. doi:10.2106/jbjs.H.01419.
  4. Klug A, Gramlich Y, Buckup J, Wincheringer D, Hoffmann R, Schmidt-Horlohé K. Excellent results and low complication rate for anatomic polyaxial locking plates in comminuted proximal ulna fractures. J Shoulder Elbow Surg. 2018; 27:2198-2206. doi:10.1016/j.jse.2018.05.032.
  5. Tarallo L, Mugnai R, Adani R, Capra F, Zambianchi F, Catani F. Simple and comminuted displaced olecranon fractures: a clinical comparison between tension band wiring and plate fixation techniques. Arch Orthop Trauma Surg. 2014; 134:1107-14. doi:10.1007/s00402-014-2021-9.
The Archives of Bone and Joint Surgery
Volume 13, Issue 12
December 2025

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History

  • Receive Date: 13 June 2025
  • Revise Date: 30 November 2025
  • Accept Date: 25 August 2025

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