Nonunion of the olecranon is rarely a clinical problem because of the effectiveness of modern surgical treatment. However, when nonunion does occur, treatment can be challenging and outcome depends on patient age, the size of the proximal fracture fragment, and the status of the ulnohumeral joint. Patients who are without pain and have a 90° arc of motion require no treatment. When the articular surface is not severely damaged, excision and triceps advancement comprise a good option in the elderly patient or patient with low physical demands. Internal fixation is undertaken in young patients, patients with high physical demands, or when the proximal fragment involves more than half of the articular surface. Treatment options for nonunions with severe damage to the articular surface include triceps advancement, interposition arthroplasty, and total elbow arthroplasty.
|Original language||English (US)|
|Number of pages||6|
|Journal||Seminars in Arthroplasty|
|State||Published - Jan 1 2001|
ASJC Scopus subject areas
- Orthopedics and Sports Medicine