Michael J Kern1, Nicholas D Casscells1, Evan H Argintar2. 1. Orthopaedic Surgery Department, MedStar Georgetown University Hospital, 3800 Reservoir Road N.W., 1 PHC, Washington, DC 20007. 2. MedStar Georgetown Orthopaedic Institute, MedStar Washington Hospital Center, Physicians Office Building, Suite 5000, 106 Irving Street N.W., Washington, DC 20010.
Abstract
INTRODUCTION: The fixation of olecranon fractures with intramedullary olecranon nails has been demonstrated to be an effective treatment option that may result in decreased soft-tissue irritation. STEP 1 POSITIONING AND APPROACH: Proper positioning of the patient during this procedure allows for improved access to the fracture and increased accessibility for fluoroscopy. STEP 2 REDUCE THE FRACTURE: Reduce and provisionally hold the fracture following a limited periosteal elevation. STEP 3 REAM THE OLECRANON AND PLACE THE NAIL: The olecranon is then reamed, and the intramedullary nail is inserted. STEP 4 INSERT THE SCREW: Place proximal interlocking screws using the targeting system. STEP 5 CLOSE THE WOUND: Close the wound with subdermal sutures and either staples or interrupted nylon horizontal mattress sutures. RESULTS: A total of twenty-eight patients with unstable olecranon fractures were treated with intramedullary olecranon nailing in our series, and union was achieved in all patients by eight weeks.IndicationsContraindicationsPitfalls & Challenges.
INTRODUCTION: The fixation of olecranon fractures with intramedullary olecranon nails has been demonstrated to be an effective treatment option that may result in decreased soft-tissue irritation. STEP 1 POSITIONING AND APPROACH: Proper positioning of the patient during this procedure allows for improved access to the fracture and increased accessibility for fluoroscopy. STEP 2 REDUCE THE FRACTURE: Reduce and provisionally hold the fracture following a limited periosteal elevation. STEP 3 REAM THE OLECRANON AND PLACE THE NAIL: The olecranon is then reamed, and the intramedullary nail is inserted. STEP 4 INSERT THE SCREW: Place proximal interlocking screws using the targeting system. STEP 5 CLOSE THE WOUND: Close the wound with subdermal sutures and either staples or interrupted nylon horizontal mattress sutures. RESULTS: A total of twenty-eight patients with unstable olecranon fractures were treated with intramedullary olecranon nailing in our series, and union was achieved in all patients by eight weeks.IndicationsContraindicationsPitfalls & Challenges.
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