+ 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

Treatment of Ipsilateral Distal Humerus and Diaphyseal Ulna Fractures by Using an Olecranon Osteotomy and Intramedullary Nail



Treatment of Ipsilateral Distal Humerus and Diaphyseal Ulna Fractures by Using an Olecranon Osteotomy and Intramedullary Nail



Journal of Orthopaedic Trauma 30(5): 251-255



To evaluate the results of treatment of an osteotomy of the olecranon and an ulnar diaphyseal fracture with a single nail, in cases with an ipsilateral ulnar diaphyseal fracture and a comminuted fracture of the distal humerus. Retrospective clinical study. University-affiliated teaching hospital. Eight patients with comminuted fractures of the distal humerus and ipsilateral ulnar diaphyseal fractures were included. Using a transolecranon approach, internal fixation of the distal humeral fracture with medial and lateral plates was performed. The ulnar diaphyseal fracture and additional osteotomy were fixed using a locked intramedullary nail. Subjective pain assessment was performed by using a visual analog scale (VAS). There were 6 (75%) male and 2 (25%) female patients, with a mean age of 40.9 (range, 32-56) years. The mean follow-up period was 24.6 (range, 12-36) months. All patients achieved union of the ulnar diaphyseal fracture and olecranon osteotomy. Union of the distal humeral fracture was observed in 7 (87.5%) patients. The mean time to union was 16.3 (range, 12-22) weeks, mean visual analog scale score was 1.8 (range, 0-3), median elbow performance score was 85 (range, 70-95), and median disabilities of the arm, shoulder, and hand score was 17.9 (range, 5-45.8). Osteotomy of the olecranon and ulnar diaphyseal fracture using an intramedullary nail was a cosmetically advantageous and safe technique that enabled rehabilitation during the early postoperative period. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Please choose payment method:






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

Accession: 059166764

Download citation: RISBibTeXText

PMID: 26618661

DOI: 10.1097/bot.0000000000000495


Related references

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

The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. Journal of Orthopaedic Trauma 20(3): 164-171, 2006

The Olecranon Osteotomy: A Six-year Experience in the Treatment of Intraarticular Fractures of the Distal Humerus. Year Book of Hand and Upper Limb Surgery 2008: 59-60, 2008

The olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fractures. European Journal of Orthopaedic Surgery and Traumatology 24(1): 43-50, 2014

Comparison of the use of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. A randomised controlled study. International Orthopaedics 31(3): 391-395, 2007

Intramedullary osteosynthesis with a twisted metal nail in diaphyseal fractures of the humerus. Ortopediia Travmatologiia i Protezirovanie 28(8): 29-33, 1967

Olecranon osteotomy for exposure of fractures and nonunions of the distal humerus. Journal of Orthopaedic Trauma 18(7): 446-449, 2004

Arthroscopy-assisted versus standard intramedullary nail fixation in diaphyseal fractures of the humerus. Journal of Orthopaedic Surgery 25(3): 2309499017727949, 2018

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

Olecranon Osteotomy Approach for Complex AO-13C Fractures of Distal Humerus: A Prospective Analysis of 24 Cases. Malaysian Orthopaedic Journal 13(1): 30-35, 2019

Combined olecranon osteotomy and posterior triceps splitting approach for complex fractures of the distal humerus. Journal of Orthopaedic Trauma 17(5): 368-373, 2003

Triceps-sparing versus olecranon osteotomy for ORIF: analysis of 67 cases of intercondylar fractures of the distal humerus. Injury 42(4): 366-370, 2011

Comparison of intramedullary nail and plate fixation in distal tibia diaphyseal fractures close to the mortise. Ulusal Travma Ve Acil Cerrahi Dergisi 20(3): 189-193, 2014

Interlocking intramedullary ulna nails in isolated ulna diaphyseal fractures: a retrospective study. Acta Orthopaedica et Traumatologica Turcica 47(4): 236-243, 2013

Outcome of Displaced Fractures of the Distal Metaphyseal-Diaphyseal Junction of the Humerus in Children Treated With Elastic Stable Intramedullary Nails. Journal of Pediatric Orthopedics 35(6): 611-616, 2015