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. Mean documented follow-up was 20.5 months.
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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.
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(AO type 12 and 13) VA-LCP Olecranon Plates 2.7/3.5 2 AO Principles 4 Indications 5 Preparation and Approach 6 Determination of Fixation Technique 10 Insert Plate 12 Insert Proximal Screws 16 Insert Plate-Shaft Screws 21 Implant Removal 25 Implants 26 Instruments 28 32. 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.
Introduction. Surgical Technique.
1 Oct 2014 Traumatology-Approaches: The Elbow - Dorsal Approach with Osteotomy of the Olecranon. 10,270 views10K views. • Oct 1, 2014. 35. 1. Share.
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.
4 Dec 2015 A surgical video demonstating technique of olecranon osteotomy for a distal humerus fracture. The osteotomy is performed with osteotomes
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.
Regardless of which type of fixation is used to secure the osteotomy, secure stabilization must be obtained. The olecranon osteotomy is completed with an osteotome. 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).
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Moreover, potential harmful effects of olecranon osteotomy on operation time, blood loss, and complications – Simple fractures of the olecranon (AO Types 21–B1, 21–B3, 21–C1) – Osteotomies of the olecranon for distal humerus fracture treatment – Avulsion fractures of the distal tibia and fibula LCP Olecranon Plates 3.5 – Left and right version – Choice of six lengths with 2, 4, 6, 8, 10 or 12 LCP combi-holes in the shaft
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.
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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
5. Patient Positioning. 6. fractures of the distal humerus (AO Type C) with a fixation recommended by the AO/ASIF have lead There were no cases of olecranon osteotomy non- union Table of Contents Introduction 2 AO Principles 4 Indications 5 Patient Positioning 6 Preparation 7 Implantation Surgical Technique Olecranon Osteotomy Nail 9 distal humerus fractures treated with ORIF through the triceps-sparing approach or olecranon osteotomy. According to the AO Foundation (AO) classification, 1. Introduction.