PDF(Pubmed)
Abstract：
BACKGROUND: The nonunion of olecranon fractures is uncommon in simple fractures, and it is challenging to treat surgically due to the disruption of the anatomy of the elbow joint. There is limited literature on surgical options, and several factors to determine the treatment, including the amount and quality of bone stock, age, and degree of articular damage.
METHODS: A 58-year-old man presented at the clinic with neglected olecranon fracture for 1 year (case 1). A 74-year-old man (case 2) presented with consistent pain and limited of motion after surgery for olecranon fracture.
METHODS: Both patients were diagnosed with olecranon nonunion.
METHODS: Both patients received the excision of nonunited fragment and reattaching with V-Y advancement of triceps.
RESULTS: Range of motion and Mayo elbow performance score were improved after surgery.
CONCLUSIONS: This technique is useful in patients who cannot undergo other surgical options due to insufficient bone quality and elbow function, and it can lead to satisfactory outcomes with an acceptable range of motion and pain relief.
METHODS: A 58-year-old man presented at the clinic with neglected olecranon fracture for 1 year (case 1). A 74-year-old man (case 2) presented with consistent pain and limited of motion after surgery for olecranon fracture.
METHODS: Both patients were diagnosed with olecranon nonunion.
METHODS: Both patients received the excision of nonunited fragment and reattaching with V-Y advancement of triceps.
RESULTS: Range of motion and Mayo elbow performance score were improved after surgery.
CONCLUSIONS: This technique is useful in patients who cannot undergo other surgical options due to insufficient bone quality and elbow function, and it can lead to satisfactory outcomes with an acceptable range of motion and pain relief.
摘要：
背景：尺骨鹰嘴骨折不愈合在单纯骨折中并不常见，由于肘关节解剖结构的破坏，手术治疗具有挑战性。关于手术选择的文献有限，以及确定治疗方法的几个因素，包括骨量的数量和质量，年龄,和关节损伤的程度。
方法：一名58岁的男性患者出现在临床上，患有被忽视的鹰嘴骨折1年（病例1）。一名74岁的男性（病例2）在鹰嘴骨折手术后表现出持续的疼痛和活动受限。
方法：两例患者均诊断为鹰嘴骨不连。
方法：两名患者均接受了非联合片段的切除，并通过三头肌的V-Y前移重新附着。
结果：手术后活动范围和Mayo肘关节功能评分均得到改善。
结论：该技术适用于由于骨骼质量和肘关节功能不足而无法接受其他手术选择的患者，它可以导致令人满意的结果，并具有可接受的运动范围和疼痛缓解。
方法：一名58岁的男性患者出现在临床上，患有被忽视的鹰嘴骨折1年（病例1）。一名74岁的男性（病例2）在鹰嘴骨折手术后表现出持续的疼痛和活动受限。
方法：两例患者均诊断为鹰嘴骨不连。
方法：两名患者均接受了非联合片段的切除，并通过三头肌的V-Y前移重新附着。
结果：手术后活动范围和Mayo肘关节功能评分均得到改善。
结论：该技术适用于由于骨骼质量和肘关节功能不足而无法接受其他手术选择的患者，它可以导致令人满意的结果，并具有可接受的运动范围和疼痛缓解。
