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Placement of an Intramedullary Nail for the Treatment of Proximal Ulnar Fractures
Michael J Kern1, Nicholas D Casscells1, Evan H Argintar2
1Orthopaedic Surgery Department, MedStar Georgetown University Hospital, 3800 Reservoir Road N.W., 1 PHC, Washington, DC 20007.
Introduction:
The fixation of olecranon fractures with intramedullary olecranon nails has been demonstrated to be an effective treatment option that may result in decreased soft-tissue irritation.
Step 1 Positioning And Approach:
Proper positioning of the patient during this procedure allows for improved access to the fracture and increased accessibility for fluoroscopy.
Step 2 Reduce The Fracture:
Reduce and provisionally hold the fracture following a limited periosteal elevation.
Step 3 Ream The Olecranon And Place The Nail:
The olecranon is then reamed, and the intramedullary nail is inserted.
Step 4 Insert The Screw:
Place proximal interlocking screws using the targeting system.
Step 5 Close The Wound:
Close the wound with subdermal sutures and either staples or interrupted nylon horizontal mattress sutures.
Results:
A total of twenty-eight patients with unstable olecranon fractures were treated with intramedullary olecranon nailing in our series, and union was achieved in all patients by eight weeks.IndicationsContraindicationsPitfalls & Challenges.
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