Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 10 , ISSUE 1 ( April, 2015 ) > List of Articles

Original Article

Clinical results of the re-fixation of a Chevron olecranon osteotomy using an intramedullary cancellous screw and suture tension band

Marc L. Wagener, Marleen Dezillie, Y vette Hoendervangers, Denise Eygendaal

Keywords : Chevron osteotomy, Re-fixation, Tension band

Citation Information : Wagener ML, Dezillie M, Hoendervangers YV, Eygendaal D. Clinical results of the re-fixation of a Chevron olecranon osteotomy using an intramedullary cancellous screw and suture tension band. 2015; 10 (1):1-4.

DOI: 10.1007/s11751-015-0211-9

License: CC BY-NC-SA 4.0

Published Online: 30-04-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


PDF Share
  1. Pierce TD, Herndon JH (1998) The triceps preserving approach to total elbow arthroplasty. Clin Orthop Relat Res 354:144-152
  2. Jupiter JB, Neff U, Holzach P, Allgower M (1985) Intercondylar fractures of the humerus. An operative approach. J Bone Joint Surg Am 67(2):226-239
  3. Ring D, Chin K, Jupiter J (2004) Olecranon osteotomy for exposure of fracrues and nonunions of the distal humerus. J Orthop Trauma 18:446-449
  4. Ring D, Jupiter J (2000) Fractures of the distal humerus. Orthop Clin North Am 31(1):103-113
  5. Srinivasan K (2005) Fractures of the distal humerus in the elderly. Clin Orthop Relat Res 434:222-230
  6. Jupiter J (1994) Complex fractures of the distal part of the humerus and associated complications. J Bone Joint Surg Am 76:1252-1264
  7. Bucholz R, Heckman J (2002) Rockwoon and green's. Fractures in adutls, vol 1. Lippincott Williams & Wilkins
  8. Canale T, Beaty J (2010) Campbell's operative orthopaedics, 11th edn. Mosby Elsevier, Philadelphia
  9. Labitzke R (1975) Theory of traction. Determination of the optimal arrangement of metal in the dorsal traction of an olecranon fracture. Arch Orthop Unfallchir 81(3):179-192
  10. Wilson J, Bajwa A, Kamath V, Rangan A (2011) Biomechanical comparison of interfragmentary compression in transverse fractures of the olecranon. J Bone Joint Surg Br 93(2):245-250. doi:10.1302/0301-620X.93B2.24613
  11. Wagener ML, Driesprong M, Heesterbeek PJ, Verdonschot N, Eygendaal D (2013) Biomechanical evaluation of three different fixation methods of the Chevron osteotomy of the olecranon: an analysis with roentgen stereophotogrammatic analysis. Clin Biomech. doi:10.1016/j.clinbiomech.2013.06.011
  12. Ahmed AR, Sweed T, Wanas A (2008) The role of cancellous screw with tension band fixation in the treatment of displaced olecranon fractures, a comparative study. Eur J Orthop Surg Traumatol 18:571-576. doi:10.1007//s00590-008-0355-0
  13. Chalidis B, Sachinis N, Samolada E, Dimitriou C, Pournaras J (2008) Is tension band wiring technique the “gold standard” for the treatment of olecranon fractures? A long term functional outcome study. J Orthop Surg Res 3:9. doi:10.1186/1749-799X-3-9
  14. van der Linden SC, van Kampen A, Jaarsma RL (2012) K-wire position in tension-band wiring technique affects stability of wires and long-term outcome in surgical treatment of olecranon fractures. J Shoulder Elbow Surg 21(3):405-411. doi:10.1016/j.jse.2011.07.022
  15. Kloen P, Buijze GA (2009) Treatment of proximal ulna and olecranon fractures by dorsal plating. Oper Orthop Traumatol 21(6):571-585. doi:10.1007/s00064-009-2006-y
  16. Hutchinson D, Horwitz D, Ha G, Thomas C, Bachus K (2003) Cyclic loading of olecranon fracture fixation constructs. J Bone Joint Surg Am 85-A(5):831-837
  17. Prayson M, Wiliams J, Marshall M, Scilaris T, Lingenfelter E (1997) Biomechanical comparison of fixation methods in transverse olecranon fractures: a cadaveric study. J Orthop Trauma 11(8):565-572
  18. Lallis S, Branstetter J (2010) The use of three types of suture and stainless steel wire tension banding for the fixation of simulated olecranon fractures. J Bone Joint Surg Br 92(2):315-319
  19. Petraco D, Koval K, Kummer F, Zuckerman J (1996) Fixation stability of olecranon osteotomies. Clin Orthop Rel Res 333:181-185
  20. https://aotrauma.aofoundation.org. https://aotrauma.aofoundation.org
  21. Carofino BC, Santangelo SA, Kabadi M, Mazzocca AD, Browner BD (2007) Olecranon fractures repaired with FiberWire or metal wire tension banding: a biomechanical comparison. Arthroscopy 23(9):964-970. doi:10.1016/j.arthro.2007.03.008
  22. Sane AD, Dakoure PW, Dieme CB, Kinkpe CV, Dansokho AV, Ndiaye A, Seye SI (2009) Olecranon osteotomy in the treatment of distal humeral fractures in adults: anatomical and functional evaluation of the elbow in 14 cases. Chir Main 28(2):93-98. doi:10.1016/j.main.2008.12.004
  23. Coles CP, Barei DP, Nork SE, Taitsman LA, Hanel DP, Bradford Henley M (2006) The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. J Orthop Trauma 20(3):164-171
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.