Acute and chronic coronoid reconstruction using the olecranon Tip.

Area of Science:

• Orthopedic surgery
• Elbow reconstruction
• Trauma surgery

Background:

• Post-traumatic coronoid deficiency leads to chronic elbow pain, instability, and arthritis.
• Current graft options like radial head and iliac crest have limitations.
• Olecranon tip grafts are emerging as a promising alternative.

Purpose of the Study:

• To evaluate the olecranon tip graft for coronoid reconstruction.
• To demonstrate the surgical technique for olecranon tip grafting.
• To assess graft suitability in acute and chronic settings.

Main Methods:

• Case series presentation.
• Surgical technique for olecranon tip graft harvesting (contralateral and ipsilateral).
• Application in acute and chronic post-traumatic coronoid deficiency.

Main Results:

• Olecranon tip grafts offer superior congruency compared to traditional grafts.
• This technique maintains elbow stability.
• The extensor mechanism remains intact after grafting.

Conclusions:

• The olecranon tip graft is a viable and effective option for coronoid reconstruction.
• This technique addresses limitations of previous graft choices.
• It shows potential for restoring elbow function after trauma.