The osteotomy is created by directing the Gigli saw distally, and the cut…. -. Coles CP, Barei DP, Nork SE, Taitsman LA, Hanel DP, Bradford Henley M. J Orthop Trauma. VuMedi is a video education platform for doctors. All patients achieved radiographic and clinical union of the osteotomy site. The known method osteotomy of the olecranon fractures of the distal part of the humerus (the Manual of internal fixation, Muller M.E. Epub 2017 Jun 14. Over 250,000 doctors use VuMedi to improve patient care and grow their practice. Olecranon osteotomy exposed more articular surface than the triceps splitting approach (Mann-Whitney test, P =.03) but was not significantly greater than the triceps reflecting approach. By use of a standard posterior approach, a precontoured olecranon plate is applied to the olecranon and affixed with screws both proximally and distally to the planned osteotomy site. From the medial border a part of the flexor carpi ulnaris arises; while to the lateral border the anconeus muscle is attached. [7–9,14,15] TRAP approach, as defined by O’Driscoll et al.,[12] is an al- Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. Osteotomy union was attained in all 5 cases, with functional outcomes comparable with those attained with the chevron technique. Coles C.P., Barei D.P., Nork S.E., Taitsman L.A., Hanel D.P., Bradford Henley M. The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. 2000;1:61–66. 21 Regarding olecranon osteotomy fixation methods, Coles et al. Zhang C, Zhang Z, Chang Z, Yang P, Zhao M, Li X, Wang G, Duan X. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Jun;11(3):524-529. doi: 10.1111/os.12475. From three centers. The olecranon / oʊ ˈ l ɛ k r ə n ɒ n / from the Greek olene meaning elbow and kranon meaning head is the large, thick, curved bony eminence of the ulna, a long bone in the forearm that projects behind the elbow.It forms the most pointed portion of the elbow and is opposite to the cubital fossa or elbow pit. 2017 Nov;49(7):613-625. doi: 10.1080/07853890.2017.1335429. It forms the most pointed portion of the elbow and is opposite to the cubital fossa or elbow pit. The following is an excerpt from an article written by the designers explaining the two techniques. Comparison of treatments in patients with distal humerus intercondylar fracture: a systematic review and meta-analysis. Clipboard, Search History, and several other advanced features are temporarily unavailable. Capsule of elbow-joint (distended). 2016 Aug;30 Suppl 2:S15-6. A Gigli saw is passed anterior to the olecranon and is used to create an osteotomy through the bare area of the sigmoid notch. Tech Shoulder Elbow Surg. 2006;20:164–171. Plan of ossification of the ulna. 25 However, for this review we will highlight some important issues surrounding each approach. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. When the hand faces forward (supination) the olecranon faces towards the back (posteriorly). Fractures of the olecranon are common injuries. Posterior aspect. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Ann Med. 2018. The plate is removed from the distal fragment. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Left elbow-joint, showing anterior and ulnar collateral ligaments. Results: 24 A thorough review of elbow anatomy and detailed approaches has been previously documented. The former is the preferred technique of the plate designers. 1% (29/3458) 2. Its posterior surface, directed backward, is triangular, smooth, subcutaneous, and covered by a bursa. Get the latest research from NIH: https://www.nih.gov/coronavirus. Orthop Surg. The osteotomy is created by directing the Gigli saw distally, and the cut is made posteriorly. the Olecranon Osteotomy techniques. A prospective study was done in 17 cases of comminuted distal humeral intercondylar fractures. This article incorporates text in the public domain from page 214 of the 20th edition of Gray's Anatomy (1918), Learn how and when to remove this template message, https://en.wikipedia.org/w/index.php?title=Olecranon&oldid=975068235, Wikipedia articles incorporating text from the 20th edition of Gray's Anatomy (1918), Articles lacking in-text citations from November 2012, Creative Commons Attribution-ShareAlike License, This page was last edited on 26 August 2020, at 15:22. The plate, proximal olecranon fragment, and extensor mechanism are retracted en bloc. The olecranon / oʊ ˈ l ɛ k r ə n ɒ n / from the Greek olene meaning elbow and kranon meaning head is the large, thick, curved bony eminence of the ulna, a long bone in the forearm that projects behind the elbow.It forms the most pointed portion of the elbow and is opposite to the cubital fossa or elbow pit. Keywords: Clin Orthop Relat Res. See this image and copyright information in PMC. Olecranon osteotomy. Precautions: • Aggressive elbow flexion ROM for 4-6 weeks • Biceps strengthening for 6 weeks • Closed kinetic chain exercises for 6-8 weeks I. QuickDASH (short version of the Disabilities of the Arm, Shoulder and Hand questionnaire) and Veterans RAND 12-Item Health Survey (VR-12) scores for patients treated with this technique were compared with those of patients treated with the standard chevron osteotomy method. Olecranon osteotomy is the most frequently preferred sur-gical approach that provides excellent exposure. Chin K. Double tension-band fixation of the olecranon. This site needs JavaScript to work properly. Conclusion: PMID: 8925380 The combined olecranon osteotomy with posterior minimal plate osteosynthesis (MIPO) described herein provides a reliable method for the treatment of these complex fractures. -. However, even the olecranon osteotomy approach failed to provide visualization of more than 40% of the distal humeral articular surface. Lateral aspect. We modified the technique to see if it is better than the standard technique to perform, reconstruct and finally evaluate the results. QuickDASH, VR-12 physical, and VR-12 mental scores were not significantly different from those of patients in the chevron osteotomy group (P = .93, P = .79, and P = .68, respectively; t test). Anteroposterior and lateral radiographs showing anatomic union of osteotomy site at 6 months postoperatively. -, Cassebaum W.H. After fracture repair, the osteotomy fragments are reapproximated, and the plate is reattached to the distal fragment. A precontoured olecranon plate is affixed to the olecranon. Post-Operative Rehabilitation Protocol Following Olecranon ORIF . The triceps splitting, triceps reflecting, and olecranon osteotomy expose 35%, 46%, and 57% of the distal articular segment, respectively. The shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH): validity and reliability based on responses within the full-length DASH. Background: Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. Get the latest public health information from CDC: https://www.coronavirus.gov. The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. J Orthop Trauma. Methods:  |  NIH Chevron osteotomy of the olecranon during the posterior approach of the elbow joint has become universally common. Its anterior surface is smooth, concave, and forms the upper part of the semilunar notch. A Gigli saw is passed anterior to the olecranon using a curved hemostat. if performing olecranon osteotomy, drill and tap olecranon prior to osteotomy; score the olecranon with an osteotome to allow perfect reduction when the osteotomy is repaired; V-shaped osteotomy of the olecranon 2 cm from the tip using an oscillating saw; Deep dissection. The proximal olecranon fragment, plate, and extensor mechanism are retracted proximally en bloc to expose the articular surface. 1982;(166):188–192. The olecranon /oʊˈlɛkrənɒn/ from the Greek olene meaning elbow and kranon meaning head[1] is the large, thick, curved bony eminence of the ulna, a long bone in the forearm that projects behind the elbow.

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