Fuller David A
Department of Orthopaedic Surgery, Cooper Medical School of Rowan University, Camden, NJ.
J Orthop Trauma. 2016 Aug;30 Suppl 2:S15-6. doi: 10.1097/BOT.0000000000000585.
The purpose of this video is to demonstrate the surgical technique of olecranon osteotomy with tension band wire repair.
A patient with a comminuted, intra-articular distal humerus fracture requiring ORIF is presented in this video demonstration of the surgical technique of an olecranon osteotomy. The olecranon osteotomy is an established technique for approaching the distal humerus for surgical repair of fracture. In the video, the patient is positioned laterally allowing a dorsal incision. The ulnar nerve is identified and protected. A chevron osteotomy, apex distally based, is created in the proximal ulna using osteotomes, centering the osteotomy within the sulcus of the proximal ulna. Once the osteotomy has been completed, the proximal ulna is reflected proximally to allow access to the distal humerus. The osteotomy is repaired using a tension band wire technique. The 2 longitudinal K-wires (0.062 inches) engage the volar cortex of the ulna and the tips of the pins are buried beneath the triceps tendon. A figure 8, 18-gauge cerclage wire is twisted to compress the osteotomy site at the end of the procedure to promote stability and healing.
The video is 10 minutes, 30 seconds duration in time and 2,048,409,000 bytes in size.
Various techniques of olecranon osteotomy have been described. The principles of a well-centered osteotomy and a stable repair are essential to this technique. This is demonstrated in the video of an olecranon osteotomy using osteotomes and a tension band repair.
本视频的目的是展示鹰嘴截骨张力带钢丝修复术的手术技术。
本视频展示鹰嘴截骨术的手术技术，介绍了一名需要切开复位内固定术治疗的肱骨远端关节内粉碎性骨折患者。鹰嘴截骨术是一种用于显露肱骨远端以进行骨折手术修复的成熟技术。在视频中，患者侧卧位，采用背侧切口。识别并保护尺神经。使用骨刀在尺骨近端制作一个远端为顶点的V形截骨，使截骨位于尺骨近端沟内的中心。截骨完成后，将尺骨近端向近端翻转，以显露肱骨远端。采用张力带钢丝技术修复截骨。两根纵向克氏针（0.062英寸）穿过尺骨掌侧皮质，针尾埋于肱三头肌腱下方。在手术结束时，用一根8字形的18号环扎钢丝拧紧，以压缩截骨部位，促进稳定性和愈合。
该视频时长10分30秒，大小为2,048,409,000字节。
已描述了多种鹰嘴截骨技术。截骨位置准确和修复稳定的原则对该技术至关重要。这在使用骨刀进行鹰嘴截骨和张力带修复的视频中得到了体现。
