Open AccessClinical results of the re-fixation of a Chevron olecranon osteotomy using an intramedullary cancellous screw and suture tension band
Author(s) -
Marc L. Wagener,
Marleen Dezillie,
Yvette Hoendervangers,
Denise Eygendaal
Publication year - 2015
Publication title -
strategies in trauma and limb reconstruction/strategies in trauma and limb reconstruction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.5
H-Index - 24
eISSN - 1828-8936
pISSN - 1828-8928
DOI - 10.1007/s11751-015-0211-9
Subject(s) - medicine , osteotomy , chevron (anatomy) , olecranon , fixation (population genetics) , surgery , orthopedic surgery , humerus , intramedullary rod , elbow , orthodontics , population , environmental health
Exposure of the distal humerus in case of an articular fracture is often performed through a Chevron osteotomy of the olecranon. Several options have been described for re-fixation of the Chevron osteotomy. Pull-out of the hard-wear is often seen as complication. In this study, an evaluation of the re-fixation of the Chevron osteotomy through a cancellous screw and suture tension band was performed. The data of 19 patients in whom a Chevron osteotomy was re-fixated with a cancellous screw in combination with a suture tension band were used. Evaluation was performed by assessment of the post-operative X-rays and documentation of complications. In all 19 cases, evaluation of the post-operative X-rays showed complete consolidation without dislocation or other complications. Re-fixation of a Chevron osteotomy of the olecranon with a large cancellous screw with a suture tension band provides adequate stability to result in proper healing of the osteotomy in primary cases when early post-operative mobilisation is allowed. Complications as pull-out of the hard-wear were not reported.