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Reconstruction of the coronoid for chronic dislocation of the elbow

USE OF A GRAFT FROM THE OLECRANON IN TWO CASES

H. Moritomo, MD, Orthopaedic Surgeon; K. Tada, MD, Chief; and T. Yoshida, MD, Orthopaedic Surgeon

Department of Orthopaedic Surgery, Kansai Rosai Hospital, 3-1-69 Inabaso, Amagasaki-shi, Hyogo 660, Japan.

N. Kawatsu, MD, Chief

Department of Orthopaedic Surgery, Kinki Central Hospital, 3-1 Kurumazuka, Itami-shi, Osaka 664, Japan.

Correspondence should be sent to Dr H. Moritomo.

Persistent dislocation of the elbow after a fracture of the coronoid process is a difficult problem. We have performed an open reduction with reconstruction of the coronoid by an osteocartilaginous graft from the ipsilateral olecranon for two patients.

Both achieved a painless, stable joint with a functional range of movement. The joint surface of the graft has a similar curve to that of the coronoid giving good congruency and stability. The technique is simple and the graft is obtained through the same incision.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General