a surgical video demonstating technique of olecranon osteotomy for a distal humerus fracture. the osteotomy is performed with osteotomes and then repaired with. olecranon osteotomy - david a. fuller, md on vimeo.
an olecranon osteotomy provides the best exposure for most cases of comminuted intra- condylar distal humeral fractures. the use of pre- contoured plates to fix the olecranon osteotomy is more reliable and has a lower incidence of complications than tension band fixation.
extended olecranon osteotomy for revision total elbow arthroplasty article in techniques in shoulder and elbow surgery 16( 1) : 10- 14 · march with 82 reads how we measure ' reads'. olecranon osteotomy is often performed in dogs to improve surgical exposure during the repair of distal ( supracondylar or condylar) humeral fractures, to facilitate open reduction of elbow luxation, and to simplify exposure and implant application during elbow arthrodesis ( 1, 2, 3, 4, 5, 6, 7, 8).
Olecranon locking plate surgical techniquealog infor nota bene the technique description herein is made available to the healthcare professional to illustrate the author' s suggested treatment for the olecranon osteotomy surgical technique booklet uncomplicated procedure. We demonstrated a unique technique for olecranon fractures using only high- strength suture. Danoff, md, kiran s. Six patients ( 15% ) had accompanying fractures and two of them had concomi- tant head and thorax injury. Goulet kagan ozer introduction fractures of the olecranon constitute approximately 10% of fractures that occur about the elbow. 6 567 the patient from the hospital.
Our aim was to determine the effectiveness of a new surgical olecranon osteotomy surgical technique booklet olecranon osteotomy surgical technique booklet technique for olecranon osteotomy surgical technique booklet olecranon fractures using a tension plate ( tp) designed by the operating surgeon. The associated functional limitations, including an inability to reach over the head or to olecranon osteotomy surgical technique booklet push off, are substantial. Twenty patients participated in our study.
Arthrex offers both locking and non- locking wedge plating options to provide a stable, measurable, and powerful bunion correction. Au - chim, harvey. Olecranon osteotomy allows maximal visualization of the distal humerus, but is clearly a disadvantage if a conversion to tea is needed. Olecranon osteotomy facilitated elbow release ( ofer) provides excellent exposure of the joint with relative minimal soft dissection and allows the surgeon to address all intrinsic and extrinsic causes of contracture in a safe and olecranon osteotomy surgical technique booklet efficient manner with similar or better results compared to more traditional open or arthroscopic techniques.
Surgical technique all patients were prepared in the supine position and tourni- quet was applied. This video demonstrates our surgical approach to treating intra- articular distal humerus fractures as well as the use of the trimed olecranon sled for fixation of an olecranon osteotomy. Injury in the olecranon osteotomy group.
A thorough knowledge of all anatomical structures is necessary to allow safe and practical surgical approaches to be made, and is crucial for understanding potential sites or aetiologies of pathological conditions affecting the elbow joint. They vary in complexity from relatively simple transverse fractures to highly comminuted and unstable fracture dislocations. A straight posterior longitudinal skin inci- sion was used just olecranon osteotomy surgical technique booklet olecranon osteotomy surgical technique booklet lateral to the olecranon tip. We also demonstrate our intra- operative management of the ulnar nerve. Or if this was done following an olecranon osteotomy [ 4, 5].
Lcp distal humerus plates note: experience in the use of the locking compression plate system lcp ( see surgical technique 036. A technique using high- strength braided polyester and polyethylene suture through a bone tunnel has been piloted. Background: our aim was to determine the effectiveness of a new surgical tech- nique for olecranon fractures using a tension plate ( tp) designed by the operating surgeon. Department of orthopedics and rehabilitation university of iowa iowa city, ia. Surgical technique prepared in consultation with: phinit phisitkul, md department of orthopedics and rehabilitation university of iowa iowa city, ia foot and ankle technique guide metatarsal shortening osteotomy.
Rajfer, md, jonathan r. Olecranon osteotomy end cap – countersunk end cap for reduced soft tissue irritation and reoperations – easy reattachment of olecranon – single size: diameter olecranon osteotomy surgical technique booklet 6 mm, length 40 mm 2 synthes olecranon olecranon osteotomy surgical technique booklet osteotomy nail technique guide. However, since the advent of minimally invasive surgery ( olecranon osteotomy surgical technique booklet mis), surgeons now have the option to perform a chevron osteotomy through small percutaneous incisions. The purpose of this article is to describe a novel technique that releases posttraumatic elbow contractures through an olecranon osteotomy and report the outcomes. Methods: thirty- five patients with refractory posttraumatic elbow contracture who underwent an olecranon osteotomy- facilitated elbow release ( ofer) procedure were included in the. This seems to be the limitation of this technique.
The ulnar nerve was dissected olecranon osteotomy surgical technique booklet carefully prior to making the osteotomy cut. Traditionally, this procedure has been performed through an open approach. Olecranon osteotomy nail. Although an olecranon osteotomy olecranon osteotomy surgical technique booklet provides excellent exposure for management of these fractures, a.
Yemul, mhs, ioannis zouzias, md, and melvin p. It was quite difficult to dissect it and to get the perspective right. For simple fractures and olecranon osteotomy surgical technique booklet osteotomies of the olecranon. Prior to making the osteotomy cut, the ulnar nerve was identified medially and protected throughout the remainder of the case.
Foot and ankle technique guide. Outcome of olecranon osteotomy in the trans- olecranon approach of intra- articular fractures of the distal humerus cilt - vol. 4 synthes olecranon osteotomy nail technique guide ao principles in 1958, the ao formulated four basic principles, which have become the guidelines for internal fixation. A chevron osteotomy is the most common technique used to correct mild to moderate bunion olecranon osteotomy surgical technique booklet deformities. Metatarsal shortening osteotomy.
In severe c3 fractures, the fully prone position can be used, if the. The surgical indication is marked displacement with rare exception for severe medical comorbidities. Olecranon fractures: open reduction and internal fixation james a.
The most popular variation of the olecranon osteotomy to date is that of the chevron osteotomy. This approach gives excellent access for distal fractures. This approach involves an osteotomy of the olecranon to allow better access to the elbow joint. It shows an olecranon osteotomy of a left arm. We obtained the following functional results with our tp: median flexion 147. Start studying elbow: fractures, dislocations, and stiffness.
Traumatology- approaches: the elbow - dorsal approach with osteotomy olecranon osteotomy surgical technique booklet of olecranon osteotomy surgical technique booklet the olecranon. Surgical approaches of the distal humerus, such as a transverse osteotomy of the olecranon, a triceps- reﬂect- ing approach, or a triceps- preserving approach [ 1– 5], have been described. Tension band wiring of simple transverse olecranon fractures results in a high reoperation rate due to hardware problems. Table of contents. 6 mm k wires through olecranon osteotomy surgical technique booklet olecranon into i.
Rosenwasser, md o lecranon fractures are relatively common in adults and constitute 10% of all upper extremity injuries. Au - malkoc, fuat. This olecranon osteotomy surgical technique booklet chapter provides an overview of the surgical anatomy of the elbow. At each visit, antero- posterior and lateral radiographs were taken and as- sessed for the adequacy of the reduction, loosening of implant and progression of the olecranon osteotomy surgical technique booklet union.
Trans- olecranon chevron osteotomies ( cos) remain the gold standard surgical approach olecranon osteotomy surgical technique booklet to type c fractures of the distal humerus. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The posterior olecranon osteotomy surgical technique booklet approach through a chevron olecranon osteotomy surgical technique booklet osteotomy of the olecranon is most often used and allows excellent visualisation of the distal humerus [ 3, 6]. Olecranon osteotomy this is the colour illustration of my self dissected specimen. Tension plate for treatment of olecranon fractures: new surgical technique and case series study. For osteotomies, the distal part is inserted and locked ( using the same technique as described before) prior to olecranon osteotomy surgical technique booklet performing the osteotomy.
Au - tay, shian chao. Methods: we included patients with olecranon fractures treated between september. The osteotomy is fixed with a screw or tension band fixation.
1 those principles, as applied to the olecranon osteotomy nail, olecranon osteotomy surgical technique booklet are: olecranon osteotomy surgical technique booklet anatomic reduction the olecranon osteotomy nail allows anatomic alignment of the olecranon fragment. 019) or instruction by a surgeon with corresponding experience is recommended. Canal ( some authors advocate penetrating anterior cortex distal to coranoid) pass 18 gauge wire olecranon osteotomy surgical technique booklet through distal hole & proximal to wire ends ( under triceps aponeurosis) in figure 8 ( may use figure 8 suture in olecranon osteotomy surgical technique booklet children). 1 position patient the lateral decubitus position is usually chosen.
This technique is associated with a high complication rate olecranon osteotomy surgical technique booklet and development of an extra- articular olecranon osteotomy may be advantageous. Technique using isoelastic tension band for treatment of olecranon fractures rebecca a. A proximal opening wedge metatarsal osteotomy is a common procedure used to correct mild to moderate hallux valgus deformities. At the end of the surgery, the osteotomy is reduced, the proximal part is inserted, and the osteotomy is compressed.
Problems associated with an olecranon osteotomy can be limited by using a careful and meticulous technique for creating and repairing the osteotomy. Once the olecranon was exposed and the joint line was identified, a chevron- type osteotomy was performed with the tps saw. Reviewed a series of 24 patients who presented at an average time of 39 months with established fractures or nonunions of the olecranon. Though we have not tried yet, the present method could be applied to fixations after osteotomy of the olecranon thus preventing irritation caused by metallic implants.
Disabilities associated with untreated olecranon fractures result from disruption of the extensor mechanism. T1 - technique of olecranon bone grafting for surgical fixation of scaphoid fractures. 5° ( interquartile. Current concepts of distal humerus fracture treatment dated from see fair evidence to suggest that the use of a triceps- splitting approach leads to functional outcomes similar to those provided by olecranon osteotomy while potentially avoiding the complications associated with the “ chevron” - olecranon osteotomy.
In this approach, a v type of osteotomy is created at the mid portion of the olecranon through the region not covered by hyaline cartilage. The management of intra- articular distal humeral fractures remains a difficult surgical problem. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient.