+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Olecranon osteotomy fixation using a novel device: the olecranon sled



Olecranon osteotomy fixation using a novel device: the olecranon sled



Techniques in Hand and Upper Extremity Surgery 17(3): 151-157



A posterior approach to the elbow utilizing an olecranon osteotomy has been shown to provide excellent visualization of the distal humerus articular surface. However, many bony stabilization and fixation methods for the olecranon osteotomy are usually prominent, frequently symptomatic, and often require a second operation for removal. This paper evaluates the use of an innovative device, the olecranon sled, in fixation of olecranon osteotomies for exposure of intra-articular distal humerus fractures and provides follow-up results. A retrospective review of all patients with intra-articular distal humerus fracture treated through an olecranon osteotomy approach and fixed with an olecranon sled, between September 2008 and December 2011 was conducted. Charts and radiographs were reviewed to determine olecranon union or nonunion, presence of symptomatic hardware, and need for secondary surgery to remove symptomatic olecranon fixation. Fourteen patients were included in the study. Average clinical follow-up was 33.5 weeks (range, 6 to 118 wk). There were no olecranon nonunions. One patient underwent additional surgery for symptomatic hardware removal (7.1%). Two additional procedures were performed; 1 for revision open reduction and internal fixation of distal humerus fracture nonunion (7.1%) and 1 for release of elbow contracture (7.1%). Although follow-up is limited, the use of this device has been associated with excellent rates of olecranon union with a low rate of symptomatic hardware requiring removal.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054723844

Download citation: RISBibTeXText

PMID: 23970197

DOI: 10.1097/bth.0b013e318298b39d


Related references

The olecranon sled--a new device for fixation of fractures of the olecranon: a mechanical comparison of two fixation methods in cadaver elbows. Acta Orthopaedica 77(3): 440-444, 2006

Biomechanical Comparison of Olecranon Sled Versus Intramedullary Screw Tension Banding for Olecranon Osteotomies. Orthopaedic Journal of Sports Medicine 6(12): 2325967118816075, 2018

Outcomes of displaced olecranon fractures treated with the Olecranon Sled. Journal of Shoulder and Elbow Surgery 27(3): 393-397, 2018

Suture Repair of Simple Transverse Olecranon Fractures and Chevron Olecranon Osteotomy. Techniques in Hand & Upper Extremity Surgery 20(1): 1-5, 2016

Suture Repair of Simple Transverse Olecranon Fractures and Chevron Olecranon Osteotomy. Techniques in Hand and Upper Extremity Surgery 20(1): 1-5, 2016

Fixing simple olecranon fractures with the Olecranon Osteotomy Nail (OleON). Operative Orthopadie und Traumatologie 23(5): 438-445, 2011

Olecranon advancement osteotomy in the management of severely comminuted olecranon fractures. Injury 24(4): 267-269, 1993

Biomechanical Evaluation of Standard Versus Extended Proximal Fixation Olecranon Plates for Fixation of Olecranon Fractures. Hand 14(4): 554-559, 2019

Outcome of olecranon osteotomy in the trans-olecranon approach of intra-articular fractures of the distal humerus. Ulusal Travma Ve Acil Cerrahi Dergisi 15(6): 565-570, 2009

A biomechanical investigation of an olecranon nail in the fixation of olecranon osteotomies. Shoulder & Elbow 2(1): 34-39, 2010

Experience with the McAtee olecranon device in olecranon fractures. Journal of Bone and Joint Surgery. American Volume 61(3): 385-388, 1979

Screw fixation of the olecranon after fracture or osteotomy. Clinical Orthopaedics and Related Research 1976(119): 197-201, 1976

Endoscopic Olecranon Bursal Resection for Olecranon Bursitis: A Comparative Study for Septic and Aseptic Olecranon Bursitis. Journal of Hand Surgery Asian-Pacific Volume 21(2): 167-172, 2016

Biomechanical testing of an innovative fixation procedure to stabilize olecranon osteotomy. Proceedings of the Institution of Mechanical Engineers. Part H Journal of Engineering in Medicine 228(11): 1146-1153, 2014

Functional outcome following olecranon osteotomy approach for fixation of T/Y fractures of distal humerus. Jpma. Journal of the Pakistan Medical Association 65(11 Suppl 3): S25-S27, 2015