2022 POSNA Annual Meeting – Best Video Abstract

Tension Band Wiring Olecranon Process Fracture Using Polyethylene Sutures and Percutaneous Pins

Barbara Minkowitz, MD; Christine Ho, MD; Jennifer Ristic, PA-C; Allison Davanzo, BS

Atlantic Medical Group, Morristown, NJ

Correspondence: Barbara Minkowitz, MD, 261 James St., Suite 3 C, Morristown, NJ 07960. E-mail: bminkowitz@aol.com

Received: May 17, 2022; Accepted: May 23, 2022; Published: August 1, 2022

DOI: 10.55275/JPOSNA-2022-0045

Volume 4, Number 3, August 2022

A 14-year-old male presents with a right elbow injury from a fall during soccer. Physical exam shows decreased range of motion, swelling, deformity, and tenderness at the olecranon.

X-rays reveal 18 mm displaced fracture of the olecranon process. Open reduction internal fixation of the elbow was performed using number 2 polyethylene suture and percutaneous k-wires. This avoids reoperation to remove hardware without compromising the quality of reduction. This was first described in 2006 by Gortzak et al., and a similar technique is demonstrated here through audiovisual aid.

Level of Evidence: Not applicable

FDA: FDA clearance is not applicable

Disclaimer: The authors have no conflicts of interest to disclose.