Digastric olecranon osteotomy: feasibility study of a new approach to the elbow.

Surgical and Radiologic Anatomy : SRA
Pascal CottiasPhilippe André Liverneaux

Abstract

None of the multiple posterior approaches to the elbow simultaneously satisfies the following three properties: good articular surface exposure, attention to the extensor apparatus continuity and olecranon vascularization. This study aims to describe a new approach to the elbow: digastric olecranon osteotomy. Nine anatomical subjects were prepared. One-third underwent intra-articular digastric osteotomy, one-third extra-articular osteotomy and one-third a vascularization study using arteriography. Digastric olecranon osteotomy, notably intra-articular, offered excellent articular exposure. After restoration, digastric stability was excellent. Olecranon vascularization was preserved using the two variations of digastric olecranon osteotomy. Digastric olecranon osteotomy preserves the principal vascular supply of the olecranon and the continuity of the extensor apparatus. Articular surface exposure is excellent, and the natural coaptation of the digastric enables immediate mobilization without any theoretical risk of deconstruction.

References

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Citations

Mar 29, 2014·Surgical and Radiologic Anatomy : SRA·Trifon TotlisKonstantinos Natsis
Apr 30, 2013·Der Orthopäde·R Meier, F Gohlke
May 7, 2015·Surgical and Radiologic Anatomy : SRA·Huan-jian SunJia-dong Wu
Apr 22, 2015·Surgical and Radiologic Anatomy : SRA·Thomas C KoslowskyL P Müller
Jan 13, 2011·Surgical and Radiologic Anatomy : SRA·François MolinierJacques Moscovici
Nov 14, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Pascal CottiasPhilippe Anract
Nov 2, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Raphaëlle Dumartinet-GibaudUNKNOWN la Société d’Orthopédie de l’Ouest (SOO)

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