Technique of Olecranon Bone Grafting for Surgical Fixation of Scaphoid Fractures

Chim, Harvey; Malkoc, Fuat; Tay, Shian Chao; Yam, Andrew; Teoh, Lam-Chuan

doi:10.1016/j.jhsa.2011.04.012

Cited by 14 publications

(7 citation statements)

References 15 publications

(10 reference statements)

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“…11 Corticocancellous olecranon bone graft was recently reported for the treatment of scaphoid nonunion in 21 patients. 8 Nineteen healed by 3 months, and 2 nonunions occurred. The authors reported less pain and greater mobility compared with their experience with the iliac crest.…”

Section: Discussionmentioning

confidence: 96%

“…Through a posterior longitudinal incision directly over the olecranon, a 10×15-mm rectangular corticocancellous graft was harvested with a sagittal saw and curved osteotomes ( Figure 3A), as previously described. 8 A groove was made in the cancellous portion with a small rongeur that allowed placement over the longitudinal K-wire with the cortical side facing dorsally (Figure 3B). The graft was seated with a bone tamp, and the periosteal tissues were su-tured over the cortical bone.…”

Section: Case Reportmentioning

confidence: 99%

“…The olecranon has been used as a source of cancellous graft 7 and recently was reported as a source of corticocancellous graft for the treatment of scaphoid nonunion. 8 The author presents a case showing the successful use of nonvascularized structural corticocancellous olecranon bone graft for a severe thumb proximal phalanx defect. To the author's knowledge, this is a unique description of the use of corticocancellous olecranon bone graft for structural purposes in the phalanges.…”

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confidence: 99%

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Thumb Proximal Phalanx Reconstruction With Nonvascularized Corticocancellous Olecranon Bone Graft

Soong¹

2015

Orthopedics

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Large segmental bone defects of the phalanges reportedly have been treated with free vascularized grafts from the hand, foot, or knee, or with nonvascularized grafts from the iliac crest. A nonvascularized structural corticocancellous graft from a local site would be advantageous. The olecranon has been used as a source of both cancellous and corticocancellous graft. The authors describe a unique case of the use of nonvascularized corticocancellous olecranon bone graft for structural purposes in a mutilating thumb injury. The patient injured the left thumb with a miter saw, resulting in a large degloving wound over a severely comminuted fracture of the proximal phalanx, with segmental bone loss between a base fragment and displaced condylar fragments. Provisional pin fixation was performed at the time of initial emergent irrigation and debridement, along with repairs of the extensor pollicis longus, radial digital nerve, and dorsal digital nerve. This was followed 3 weeks later by non-vascularized corticocancellous bone grafting from the olecranon to the proximal phalanx under regional anesthesia. The thumb was mobilized at 11 weeks, and solid union was radiographically confirmed at 6 months. The patient achieved moderate active range of motion and was able to return to work as a physical therapist. The elbow healed uneventfully and without pain or fracture at the donor site. This case shows that robust structural bone graft for the phalanges may be obtained from the nearby olecranon, under regional anesthesia, without microsurgery, and with potential advantages over the iliac crest.

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Section: Discussionmentioning

confidence: 96%

Section: Case Reportmentioning

confidence: 99%

mentioning

confidence: 99%

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Thumb Proximal Phalanx Reconstruction With Nonvascularized Corticocancellous Olecranon Bone Graft

Soong¹

2015

Orthopedics

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“…The bone grafts were mainly corticocancellous blocks (86%). The majority was taken from the ipsilateral olecranon 15) (85%), with the remainder from the iliac crest (9%) and distal radius (6%).…”

Section: Types Of Screwmentioning

confidence: 99%

The Effect of Screw Design on Union Rates in Scaphoid Nonunions

Tay

Shin

2015

Hand Surg.

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“… 9 – 11 Reports of OP bone graft harvesting have comprised smaller numbers of patients, but with similar donor-site complication rates ranging from 0% to 9%. 9 , 12 – 16 …”

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confidence: 99%

Comparing Morbidities of Bone Graft Harvesting from the Olecranon Process and the Distal Radius

Micev

Kalainov

Slikker

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Background:The aim of this study is to compare donor-site morbidities between patients who underwent bone graft harvesting from either the olecranon process (OP) or the distal radius (DR).Methods:We evaluated 44 patients who underwent bone graft harvesting from the OP (25 cases) or the DR (19 cases) for various procedures in the ipsilateral upper extremity. Follow-up averaged 14 (OP group) and 19 months (DR group). Outcome measures included visual analog scales (VAS) for graft harvest-site pain and scar appearance, joint motion, and x-rays of the graft harvest and recipient sites. The VAS scores ranged from 0 to 10 with a low score reflecting no pain and excellent satisfaction and a high score reflecting severe pain and poor satisfaction.Results:The VAS scores for pain averaged 0.4 (OP) and 0.5 (DR), and the VAS scores for scar appearance averaged 0.3 (OP) and 0.7 (DR). These differences were not significant. Within each group, there were no significant differences between the operative and nonoperative limbs for elbow or wrist motion. Early graft harvest-site complications involved 1 superficial wound infection (OP) and 1 wound dehiscence (DR). A graft harvest-site defect was detected by x-ray in 84% of OP cases and in 67% of DR cases. Bone healing at the graft recipient sites was observed in more than 87% of cases in both groups.Conclusions:Bone graft harvesting from either the OP or the DR led to comparable patient- and evaluator-determined outcomes with low risks of complications. Surgeons can safely use either option.

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Technique of Olecranon Bone Grafting for Surgical Fixation of Scaphoid Fractures

Cited by 14 publications

References 15 publications

Thumb Proximal Phalanx Reconstruction With Nonvascularized Corticocancellous Olecranon Bone Graft

Thumb Proximal Phalanx Reconstruction With Nonvascularized Corticocancellous Olecranon Bone Graft

The Effect of Screw Design on Union Rates in Scaphoid Nonunions

Comparing Morbidities of Bone Graft Harvesting from the Olecranon Process and the Distal Radius

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