title: Treatment of Ipsilateral Distal Humerus and Diaphyseal Ulna Fractures by Using an Olecranon Osteotomy and Intramedullary Nail.
abstract: OBJECTIVE
  To evaluate the results of treatment of an osteotomy of the olecranon and an ulnar diaphyseal fracture with a single nail, in cases with an ipsilateral ulnar diaphyseal fracture and a comminuted fracture of the distal humerus.
  
  
  METHODS
  Retrospective clinical study.
  
  
  METHODS
  University-affiliated teaching hospital.
  
  
  METHODS
  Eight patients with comminuted fractures of the distal humerus and ipsilateral ulnar diaphyseal fractures were included.
  
  
  METHODS
  Using a transolecranon approach, internal fixation of the distal humeral fracture with medial and lateral plates was performed. The ulnar diaphyseal fracture and additional osteotomy were fixed using a locked intramedullary nail. Subjective pain assessment was performed by using a visual analog scale (VAS).
  
  
  RESULTS
  There were 6 (75%) male and 2 (25%) female patients, with a mean age of 40.9 (range, 32-56) years. The mean follow-up period was 24.6 (range, 12-36) months. All patients achieved union of the ulnar diaphyseal fracture and olecranon osteotomy. Union of the distal humeral fracture was observed in 7 (87.5%) patients. The mean time to union was 16.3 (range, 12-22) weeks, mean visual analog scale score was 1.8 (range, 0-3), median elbow performance score was 85 (range, 70-95), and median disabilities of the arm, shoulder, and hand score was 17.9 (range, 5-45.8).
  
  
  CONCLUSIONS
  Osteotomy of the olecranon and ulnar diaphyseal fracture using an intramedullary nail was a cosmetically advantageous and safe technique that enabled rehabilitation during the early postoperative period.
  
  
  METHODS
  Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
authors.affiliation: Orthopedics and Traumatology Department, Atatürk University Medical School Hospital, Erzurum,Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Köse
authors.forename: Ali
authors.initials: A
authors.lastname: Aydin
authors.forename: Naci
authors.initials: N
authors.lastname: Ezirmik
authors.forename: Ömer Selim
authors.initials: ÖS
authors.lastname: Yildirim
mesh_terms: D000328:Adult; D001860:Bone Plates; D003131:Combined Modality Therapy / Q000379:methods; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D056740:Olecranon Process / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000175:diagnosis / Q000601:surgery*; D000092464:Elbow Injuries