Home > Riviste > Minerva Orthopedics > Fascicoli precedenti > Minerva Ortopedica e Traumatologica 2020 March;71(1) > Minerva Ortopedica e Traumatologica 2020 March;71(1):32-5

ULTIMO FASCICOLO
 

JOURNAL TOOLS

Opzioni di pubblicazione
eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo
Share

 

CASE REPORT   

Minerva Ortopedica e Traumatologica 2020 March;71(1):32-5

DOI: 10.23736/S0394-3410.19.03951-1

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Olecranon bone loss: reconstruction with navicular not vascularized osteo-chondral autograft in a multi-fractured patient

Chiara ARRIGONI 1 , Bruno BATTISTON 2

1 Division of Pediatric Orthopedics and Traumatology, AON Santi Biagio e Antonio e Cesare Arrigo, Alessandria, Italy; 2 Division of Upper Limb Traumatology and Hand Surgery, CTO Hospital, Città della Salute e della Scienza, Turin, Italy



Olecranon multifragmentary fractures may represent a challenge for orthopedic. They need, indeed, a precise anatomical reconstruction and a stable osteosynthesis allowing an early and fast mobilization to get a good functional elbow recovery. When a bone loss is to be managed, different reconstructive techniques using grafts from iliac crest, neighboring bones or ribs are described. We report the case of a large olecranon bone loss in which a partial navicular not vascularized osteochondral autograft was used to fill the bone gap and to reconstruct the articular surface. At 1 year follow up the fracture healed without graft reabsorption with some elbow stiffness due to some peri-articular calcifications. The patient was therefore subjected to surgery for devices removal and elbow arthrolysis, withdrawing calcifications and interposing in the joint a bank tendon graft; immediately post-op elbow range of motion was quite complete. We believe that a tarsal scaphoid combined osteo-chondral graft can be used in these cases of complex olecranon defects because of its shape that can simulate the articular surface of the olecranon with good results.


KEY WORDS: Olecranon process; Tarsal bones; Autografts

inizio pagina