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. Left elbow-joint, showing anterior and ulnar collateral ligaments. Epub 2017 Jun 14. Am J Surg. Epub 2019 Jun 17. The known method osteotomy of the olecranon fractures of the distal part of the humerus (the Manual of internal fixation, Muller M.E. Its posterior surface, directed backward, is triangular, smooth, subcutaneous, and covered by a bursa. It forms the most pointed portion of the elbow and is opposite to the cubital fossa or elbow pit. Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. The two disadvantages of olecranon osteotomy are the (low) risk of nonunion and the fact that the anconeus must be transected and denervated in order to reflect the olecranon and the extensor mechanism proximally. 2006;20:164–171. 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. Conclusion: The following is an excerpt from an article written by the designers explaining the two techniques. Keywords: Its anterior surface is smooth, concave, and forms the upper part of the semilunar notch. 1% (50/3458) 3. 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. -. Clin Orthop Relat Res. The plate, proximal olecranon fragment, and extensor mechanism are retracted en bloc. Olecranon Osteotomy With Tension Band Wire Repair. 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). When the hand faces forward (supination) the olecranon faces towards the back (posteriorly). 2018 Oct 15;32(10):1321-1325. doi: 10.7507/1002-1892.201803036. Surgical Treatment of Intra-Articular Distal Humeral Fractures by using a Combined Medial and Lateral Approach: An Anatomic Study. BMC Musculoskelet Disord.  |  From three centers. The described method provides excellent visualization of the joint, is less technically challenging than the standard chevron osteotomy, and reduces operative time. -, Gummesson C., Ward M.M., Atroshi I.  |  Comparison of treatments in patients with distal humerus intercondylar fracture: a systematic review and meta-analysis. Because of the nonunion rate of 30% in our patients, we no longer use a transverse osteotomy of the olecranon to expose distal humerus fractures at surgery. Tech Shoulder Elbow Surg. olecranon The hook-shaped upper end of one of the forearm bones (the ulna) that projects behind the elbow joint, fitting into a hollow on the back of the lower end of the upper arm bone (humerus) and forming the point of the elbow. Fractures of the olecranon are common injuries. -. A prospective study was done in 17 cases of comminuted distal humeral intercondylar fractures. It is situated at the upper (proximal) end of the ulna, one of the two bones in the forearm. 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.  |  Upper extremity of left ulna. All patients achieved radiographic and clinical union of the osteotomy site. A triceps-sparing approach. This site needs JavaScript to work properly. Its base is contracted where it joins the body and the narrowest part of the upper end of the ulna. -, Cassebaum W.H. 2017 Nov;49(7):613-625. doi: 10.1080/07853890.2017.1335429. The osteotomy is created by directing the Gigli saw distally, and the cut…. Olecranon osteotomy is the most frequently preferred sur-gical approach that provides excellent exposure. It is bent forward at the summit so as to present a prominent lip which is received into the olecranon fossa of the humerus in extension of the forearm. 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. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Chin K. Double tension-band fixation of the olecranon. Olecranon Osteotomy 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.

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