PMC4719344_01
Pre-operative radiograph showing fracture and contaminants
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F1
Radiographs revealed a comminuted fracture of olecranon with some bone loss on medial side (Schatzker type D fracture, AO/OTA 21-B1.3) [Fig 1].
Intra-operative photograph showing wound and fixator construct; postoperative radiograph - AP & Lateral view
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F2
The proximal fragment was fixed with the reconstructed distal fragment using Ilizarov fixator [Fig 2]. Another olive wire was passed in antegrade fashion at an angle to the longitudinal wire to increase the stability of construct.[Fig 2].
Range of motion at one-year follow up
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F3
At one-year follow-up, the CRPS was subsided and the patient had elbow ROM of 100 to 1300, with 750 pronation and 850 supination.[Fig 3].
Radiograph (AP, Lateral) & Sagittal CT at one-year follow up
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F4
The dynamic x-ray did not show any inter-fragmentary distraction. [Fig 4]. CT scan showed union of coronoid fragment with the shaft However there was a firm fibrous non-union of olecranon with well-maintained congruency at one-year follow up. [Fig 4].
Radiograph (AP, Lateral) & Sagittal CT at three-year follow up
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F5
At three-year follow-up, the x-ray and CT Scan showed union with well maintained congruency. [Fig 5] The patient is able to do all her occupational activities (including heavy activities such as lifting water-bucket of 20 Kg. without pain).