7 Dec 2020 Olecranon osteotomy is the most frequently used surgical route to expose the distal humerus for AO type C fractures. 7, 13,14 For the fixation of
29 Mar 2017 Ideally, the olecranon osteotomy should be centered on the bare area to Surgical treatment of AO type C distal humeral fractures: internal
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 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).
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This approach involves an osteotomy of the olecranon to allow better access to the elbow joint. This approach gives excellent access for distal fractures. 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.
The olecranon osteotomy provides better outcome than the tricepslifting approach for the treatment of distal humerus fractures. Eur J Orthop Surg Traumatol. 2014; 24 (1): 43-50.
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.
“Chevron”-olecranon osteotomy exposure was not significantly better than the triceps reflecting approach . Similar information is provided by Dakoure’et al. with 26, 37 and 52% . However, an olecranon osteotomy has potential complications: failure to anatomically close the osteotomy at the end of the procedure, healing problems of the
Functional outcome was Olecranon Osteotomy Approach for Complex AO-13C Fractures of Distal Humerus: A Prospective Analysis of 24 Cases. Singh R(1)(2)(3), Singh H(2), Kanodia N(3). Author information: (1)Department of Orthopaedics, Mayo Institute of Medical Sciences, Uttar Pradesh, India. (2)Department of Orthopaedics, GSVM Medical College, Kanpur, India. The olecranon osteotomy, when completed, reveals a badly comminuted C3 distal humeral fracture.
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 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. Regardless of which type of fixation is used to secure the osteotomy, secure stabilization must be obtained. The Olecranon Osteotomy Nail is indicated to treat simple olecranon fractures and osteotomies of the olecranon. 6 SynthesOlecranon Osteotomy Nail Technique Guide Place the patient in the lateral decubitus position to accom- modate distal humerus surgery. of the olecranon through the region not covered by hyaline cartilage.
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Olecranon osteotomy. Osteotomy of the olecranon is particularly valuable in the treatment of comminuted distal fractures of the humerus involving the articular surface. HOWEVER, this increases the complexity of the procedure and has its own complications. Subjects with CCI ≥2 were more likely to not undergo an olecranon osteotomy (P = 0.01), whereas subjects with more complex fractures by OTA/AO classification were more likely to have an olecranon osteotomy approach (P = 0.001).
We help you select the appropriate treatment of Ulna, articular, olecranon located in our module on Proximal forearm
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. Materials and Methods: Between December 2012 and September 2015, twenty-four adult patients (male: 15, female: 9) having mean age of 41.4 years with closed intra-articular fracture (AO-13C) were surgically managed using olecranon osteotomy approach and were followed-up for a mean of 28.5 months (range: 22-35 months).
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Olecranon Osteotomy Approach - YouTube IndicationsReduction and fixation, distal humeral, and comminuted fractures (C3).LandmarksTip of the olecranon, medial epicondyle, ulnar nerve in the
The prefer - ence of surgical approach was made by surgeon’s discretion. According to AO/ASIF classification, there was a C1 fracture following olecranon osteotomy versus paratricipital approach for complex intra- articular (AO 13-C) fracture of distal humerus: a prospective comparative study. The fracture was clas- sified as per AO/OTA classification. There were 30.
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A surgical video demonstating technique of olecranon osteotomy for a distal humerus fracture. The osteotomy is performed with osteotomes and then repaired with…
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. J Hand. Surg Am. 2003 ; 28:294-308. 8. Holdsworth BJ, Mossad MM. Fractures of the adult distal. 20 patients with distal humeral fractures (AO 13-A1 - AO 13-C3) were Additional olecranon osteotomy was performed in 7 cases (3x DePuy Synthes vs.
A surgical video demonstating technique of olecranon osteotomy for a distal humerus fracture. The osteotomy is performed with osteotomes and then repaired with…
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. The olecranon osteotomy, when completed, reveals a badly comminuted C3 distal humeral fracture.
1 2 3 2 1 In our opinion, absolute anatomical reduction in the osteotomy of the olecranon is essential to achieve the best functional outcome.Since early mobilisation of the elbow after surgery of a distal humeral fracture is essential to regain as much function as possible, the re-fixated Chevron osteotomy should be able to withstand the high forces generated across the elbow in daily living in order Osteotomy of the olecranon is commonly used to gain exposure for reconstruction of bi-condylar fractures of the distal humerus (type 13-C of classification AO), but there is controversy because of 2015-02-20 2011-04-01 Incidence of implant removal is between 13-30%. Out of 94 patients in whom olecranon osteotomy has been done by Tak et al. all the patients who had unsatisfactory results were related to olecranon osteotomy (p=0.000, OR 103.2). In the our study, 22.7% of the patients in whom olecranon osteotomy repair was done needed implant removal. This paper describes a technique for olecranon osteotomy using an apex, distal, chevron-shaped osteotomy, Kirschner wires directed out the anterior ulnar cortex distal to the coronoid process and 2011-12-10 2017-10-25 AO Classification showed five A2, one B2, two C1, 9 C2 and 7 C3 fractures The olecranon osteotomy approach with double-plate fixation is a good choice for the surgical treatment of type C This approach involves an osteotomy of the olecranon to allow better access to the elbow joint. This approach gives excellent access for distal fractures. Problems associated with an olecranon osteotomy can be limited by using a careful and meticulous technique for creating and repairing the osteotomy.