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2019-11-13 Summary: Although olecranon osteotomy provides excellent exposure of the distal humerus, enthusiasm for this approach has been limited by reports suggesting numerous complications.It has been suggested that specific techniques for creating and repairing an olecranon osteotomy may help limit complications. This paper describes a technique for olecranon osteotomy using an apex, distal, chevron Combined olecranon osteotomy with posterior minimal plate osteosynthesis was used to treat this fracture. At the one-year follow-up at the postoperative fracture clinic, there was no pain, the range of motion (ROM) of the elbow was 10 degrees to 140 degrees and the radiograph showed a healed fracture with the implant in situ. When an olecranon osteotomy had been performed, this was done according to the traditional AO-recommendation with a chevron osteotomy proximal to the base of the coronoid process, through the bare area of the olecranon. In no case was it described that the anconeus muscle had been mobilized in continuity with the triceps. Between 2011 and 2015, 51 adult patients with closed AO 13-C–type fractures were included in the study and divided into 2 groups, that is, paratricipital approach (PT) group and olecranon osteotomy (OO) group. Patients were treated by 2 senior trauma surgeons.

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Olecranon osteotomy approach through turning the olecranon and triceps proximally and dislocating the elbow joint, then fully exposing the distal condyle of the humerus, played an auxiliary role in the reduction and fixation of fractures. ing to the AO/ASIF fracture classification system.

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The olecranon was reduced and held using tenaculums. Next, 100 mm, 7.3 cannulated screw from the Synthes set was inserted into the tip of the olecranon. Olecranon osteotomy approach through turning the olecranon and triceps proximally and dislocating the elbow joint, then fully exposing the distal condyle of the humerus, played an auxiliary role in the reduction and fixation of fractures. ing to the AO/ASIF fracture classification system.

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The olecranon osteotomy, when completed, reveals a badly comminuted C3 distal humeral fracture. Often small cortical pieces are found without soft tissue attachment and are discarded. The aim of this study was to ascertain this approach compared with the olecranon osteotomy approach. Also, we aimed to investigate whether advancing age and surgical delay yield a poor outcome.

2014; 24 (1): 43-50. of olecranon osteotomy vs. triceps-sparing approach for patients with distal humerus intercondylar fracture. Methods The electronic searches were systematically performed in PubMed, EmBase, Cochrane library, and Chinese National Knowledge Infrastructure from initial inception till December 2019. The primary endpoint was the incidence of excellent/good elbow function, and the secondary 2019-03-01 2020-11-21 To investigate the outcomes of patients undergoing open reduction and internal fixation with olecranon osteotomy due to AO type13C fractures of the distal humerus.
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The surgical tactic is started by reducing the articular components, converting the C-type fracture into an A-type fracture. Outcome following olecranon osteotomy versus paratricipital approach for complex intra-articular (AO 13-C) fracture of distal humerus: a prospective comparative study. Singh R(1), Kanodia N(2), Singh H(3). Author information: (1)Department of Orthopaedics, Mayo Institute of Medical Sciences, Barabanki, Uttar Pradesh, India. All patients had intra-articular AO type 13-C2 or 13-C3 distal humerus fractures and underwent open reduction and internal fixation (ORIF) with olecranon osteotomy.

Problems associated with an olecranon osteotomy can be limited by using a careful and meticulous technique for creating and repairing the osteotomy. Introduction: Olecranon osteotomy is well described approach for complex intra-articular distal humeral fractures. In this study, we investigated the usefulness and complications of olecranon osteotomy approach for such fractures. The olecranon osteotomy approach which provides maximum articular surface visualisation, gives better command on fracture fragments and has minimal consequences on extensor mechanism, is often employed for such fracture 9. However, the olecranon osteotomy approach Olecranon Osteotomy Approach for Complex AO-13C The aim of this study was to ascertain this approach compared with the olecranon osteotomy approach. Also, we aimed to investigate whether advancing age and surgical delay yield a poor outcome. The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus In this study, no osteotomy nonunions were encountered in 67 patients, more than half of which were open injuries.
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1. Share. 23 Nov 2018 for educational & entertainment purposes only with all credit to original publisher #Orthopedics #عظام #ortopedi #אוֹרְתוֹפֵּדִיָה #骨科  4 Dec 2015 A surgical video demonstating technique of olecranon osteotomy for a distal humerus fracture. The osteotomy is performed with osteotomes  1 Apr 2021 Thirteen (48%) patients underwent olecranon osteotomy during surgical exposure, and 23 of 27 (85%) had ulnar nerve transposition or  tures of the distal humerus (8 AO type C1, 8 C2 and. 10 C3) and who were olecranon osteotomy, internal fixation was achieved with unilateral or bilateral  Functional outcome of AO type C distal humeral fractures.

The olecranon osteotomy, when completed, reveals a badly comminuted C3 distal humeral fracture. Often small cortical pieces are found without soft tissue attachment and are discarded. The incision is started approximately the width of the patient's hand proximal to the olecranon (in severe cases slightly longer). It then runs distally curving laterally around the olecranon, continuing some 2-4 … We help you select the appropriate treatment of Ulna, articular, olecranon located in our module on Proximal forearm can either split triceps fascia, or continue with olecranon osteotomy 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 AO Surgery Reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Orthopedic trauma (incl pediatrics) CMF Olecranon Osteotomy Approach - YouTube. IndicationsReduction and fixation, distal humeral, and comminuted fractures (C3).LandmarksTip of the olecranon, medial epicondyle, ulnar nerve in the cubital The Olecranon Osteotomy Nail is indicated to treat simple olecranon fractures and osteotomies of the olecranon.
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Orthopedic trauma (incl pediatrics) CMF Olecranon Osteotomy Approach - YouTube. IndicationsReduction and fixation, distal humeral, and comminuted fractures (C3).LandmarksTip of the olecranon, medial epicondyle, ulnar nerve in the cubital 2020-11-21 · Chevron osteotomy of the olecranon during the posterior approach of the elbow joint has become universally common. We modified the technique to see if it is better than the standard technique to perform, reconstruct and finally evaluate the results. A prospective study was done in 17 cases of comminuted distal humeral intercondylar fractures. The olecranon osteotomy is completed with an osteotome.

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type A: extraarticular. A1: avulsion.

This approach gives excellent access for distal fractures.