Reconstruction of the coronoid for chronic dislocation of the elbow. Use of a graft from the olecranon in two cases.
Persistent dislocation of the elbow after a fracture of the coronoid process is a difficult problem. We have performed an open reduction with reconstruction of the coronoid by an osteocartilaginous graft from the ipsilateral olecranon for two patients. Both achieved a painless, stable joint with a functional range of movement. The joint surface of the graft has a similar curve to that of the coronoid giving good congruency and stability. The technique is simple and the graft is obtained through the same incision.
Moritomo
H
H
Department of Orthopaedic Surgery, Kansai Rosai Hospital, Hyogo, Japan.
Tada
K
K
Yoshida
T
T
Kawatsu
N
N
D000328:Adult; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D002358:Cartilage, Articular / Q000637:transplantation; D002908:Chronic Disease; D017885:Collateral Ligaments / Q000601:surgery; D004551:Elbow Joint / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000150:complications / Q000601:surgery; D016059:Range of Motion, Articular / Q000502:physiology; D014457:Ulna / Q000601:surgery*; D014458:Ulna Fractures / Q000150:complications / Q000601:surgery; D000092464:Elbow Injuries