Triceps Advancement for Olecranon Fracture

Description

The video presents a surgical technique for triceps advancement in the treatment of olecranon fractures, specifically addressing low-demand elderly patients with such injuries involving 50% or less of the articular surface. The authors disclose no financial conflicts and outline indications for the procedure, which can be effective in both acute fractures and chronic nonunions, particularly in cases where the proximal olecranon fragment is comminuted.



The presentation details the surgical approach through a standard posterior incision, including a cubital tunnel release and subsequent removal of hardware due to aseptic nonunion at the fracture site. It describes mobilizing the triceps tendon and ensuring stability during the procedure before advancing it using a braided suture technique. The procedure culminates with careful monitoring of range of motion and guidelines for post-operative care and rehabilitation, ultimately achieving favorable functional outcomes for the patient. The emphasis lies on effective treatment methodologies for older patients with specific fracture criteria, concluding with a comprehensive summary of expected recovery processes.

Specialties