Strategies in Trauma and Limb Reconstruction

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  18 (2023)
Volume  17 (2022)
Volume  16 (2021)
Volume  15 (2020)
Volume  14 (2019)
Volume  13 (2018)
Volume  12 (2017)
Volume  11 (2016)
Volume  10 (2015)
Volume  9 (2014)
Volume  8 (2013)
Volume  7 (2012)
Volume  6 (2011)
Volume  5 (2010)
Volume  4 (2009)
Volume  3 (2008)
Volume  2 (2007)
Volume  1 (2006)
Related articles

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: 01-06-2013

Copyright Statement:  Copyright © 2015; The Author(s).


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.