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Placement of an Intramedullary Nail for the Treatment of Proximal Ulnar Fractures.

MedStar author(s):

Citation: Jbjs Essential Surgical Techniques. 5(4):e23, 2015 Dec 23.PMID: 30405957Institution: Washington Hospital CenterDepartment: MedStar Georgetown Orthopedic InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: PubMed-not-MEDLINE -- Not indexedYear: 2015 ISSN:

2160-2204

Name of journal: JBJS essential surgical techniquesAbstract: 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.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.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.All authors: Argintar EH, Casscells ND, Kern MJFiscal year: FY2015Digital Object Identifier:

https://dx.doi.org/10.2106/JBJS.ST.O.00002

Date added to catalog: 2018-11-16

Holdings ( 1 )
Title notes ( 8 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	30405957	Available		30405957

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.

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.

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.

English