Fragment excision and triceps V-Y advanced reattachment using suture anchor for olecranon nonunion: A case report

Abstract

Rationale: The nonunion of olecranon fractures is uncommon in simple fractures, and it is challenging to treat surgically due to the disruption of the anatomy of the elbow joint. There is limited literature on surgical options, and several factors to determine the treatment, including the amount and quality of bone stock, age, and degree of articular damage. Patient concerns: A 58-year-old man presented at the clinic with neglected olecranon fracture for 1 year (case 1). A 74-year-old man (case 2) presented with consistent pain and limited of motion after surgery for olecranon fracture. Diagnosis: Both patients were diagnosed with olecranon nonunion. Intervention: Both patients received the excision of nonunited fragment and reattaching with V-Y advancement of triceps. Outcomes: Range of motion and Mayo elbow performance score were improved after surgery. Lessons: This technique is useful in patients who cannot undergo other surgical options due to insufficient bone quality and elbow function, and it can lead to satisfactory outcomes with an acceptable range of motion and pain relief.