Exposure of the distal humerus in case of an\narticular fracture is often performed through a Chevron\nosteotomy of the olecranon. Several options have been\ndescribed for re-fixation of the Chevron osteotomy. Pullout\nof the hard-wear is often seen as complication. In this\nstudy, an evaluation of the re-fixation of the Chevron osteotomy\nthrough a cancellous screw and suture tension\nband was performed. The data of 19 patients in whom a\nChevron osteotomy was re-fixated with a cancellous screw\nin combination with a suture tension band were used.\nEvaluation was performed by assessment of the post-operative\nX-rays and documentation of complications. In all\n19 cases, evaluation of the post-operative X-rays showed\ncomplete consolidation without dislocation or other complications.\nRe-fixation of a Chevron osteotomy of the\nolecranon with a large cancellous screw with a suture\ntension band provides adequate stability to result in proper\nhealing of the osteotomy in primary cases when early postoperative\nmobilisation is allowed. Complications as pullout\nof the hard-wear were not reported.
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