Suture repair of simple transverse olecranon fractures and chevron olecranon osteotomy

Abhishek K. Das*, Arpit Jariwala, Adam C. Watts

*Corresponding author for this work

Research output: Contribution to journalArticle (journal)peer-review

14 Citations (Scopus)

Abstract

Tension band wiring of simple transverse olecranon fractures results in a high reoperation rate due to hardware problems. A technique using high-strength braided polyester and polyethylene suture through a bone tunnel has been piloted. This technique is suitable for simple transverse olecranon fractures or olecranon osteotomy with stability of the ulnohumeral articulation. A transverse drill hole was made in the ulna with a 2.5-mm drill. Fracture fixation was achieved using 2 braided synthetic sutures passed through the bone tunnel and grasping the insertion of the triceps tendon. The outcome measures used were Oxford Elbow score and QuickDASH score. Ten consecutive patients with a mean age of 47 years (range, 18 to 88 y) were included. The mean follow-up was 19 months (range, 14 to 30 mo). All fractures were clinically and radiographically united by 6 weeks. One malunion occurred. The mean Oxford score was 41 (20 to 48). The mean QuickDASH Score was 9 (0 to 20). This technique provides a safe and reliable alternative to conventional tension band wiring with no reoperations required in a pilot series.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalTechniques in Hand and Upper Extremity Surgery
Volume20
Issue number1
DOIs
Publication statusPublished - 31 Mar 2016

Keywords

  • Chevron olecranon osteotomy
  • High-strength braided suture
  • Suture repair
  • Tension band wiring
  • Transverse olecranon fractures
  • Osteotomy/methods
  • Humans
  • Middle Aged
  • Young Adult
  • Ulna Fractures/surgery
  • Olecranon Process/injuries
  • Adolescent
  • Aged, 80 and over
  • Sutures
  • Adult
  • Aged
  • Suture Techniques

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