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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۶، صفحات ۵۲۵-۵۲۹
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عنوان انگلیسی Total Elbow Arthroplasty in the Context of an Olecranon Non:union:; Surgical Technique and Report of Three Cases
چکیده انگلیسی مقاله The deficiency of the triceps tendon has been considered a relative contraindication to performing a total elbow arthroplasty. One of the conditions that may compromise triceps integrity is the presence of an olecranon non-:union: (ON). In this scenario, the placement of a total elbow arthroplasty in a patient with end-stage elbow arthritis is a complex problem to be solved. The aim of this study is to describe the surgical technique for the placement of a TEA in the context of a previous ON and to report the results of three cases.Surgical technique: the focus of the non:union: is identified, and the olecranon fragment is proximally reflected with the triceps tendon to allow accurate exposure of the medullary canal of the ulna and easy access to the joint. With the elbow in a fully flexed position, the previously assembled test prosthesis is placed and the proximal ulna fragment should then be reduced to match the distal ulna. Osteosynthesis with a tension band technique was performed at 45° of elbow extension. A non-absorbable Krackow suture (Ti-Cron 2-0) from the triceps’s tendon to the hole of the wire in the distal ulna is applied to decrease the triceps tension traction. Bone grafting is performed when a persistent gap is present at the fracture site following reduction. This technique enables us to achieve a stable elbow with little pain and maintains the extensor apparatus’s continuity.Level of evidence: IV 
کلیدواژه‌های انگلیسی مقاله Arthritis, extensor mechanism, olecranon non-:union:, triceps deficiency, total elbow arthroplasty
نویسندگان مقاله | Gerardo Gallucci
Servicio de Ortopedia y Traumatología “Dr. Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires, Argentina


| Ignacio Rellan
Servicio de Ortopedia y Traumatología “Dr. Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires, Argentina


| Jorge Boretto
Servicio de Ortopedia y Traumatología “Dr. Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires, Argentina


| Agustin Donndorff
Servicio de Ortopedia y Traumatología “Dr. Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires, Argentina


| Pablo De Carli
Servicio de Ortopedia y Traumatología “Dr. Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires, Argentina
نشانی اینترنتی https://abjs.mums.ac.ir/article_18982.html
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نوع مقاله منتشر شده TECHNICAL NOTE
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