Master minimally invasive osteosynthesis of articular olecranon fractures, which is important for long-term preservation of joint function in young patients. This training details a surgical approach that aims to minimize tissue trauma, optimize aesthetics, and allow early postoperative mobility, ensuring anatomical reduction and stable fixation.

Training Focus:

• Treatment of articular olecranon fractures.
• Minimally invasive surgical approach.
• Anatomical reduction and stable fixation.
• Preservation of joint function and early mobility.
• Optimization of postoperative aesthetics.

Detailed Content:

• Access and Exposure: Small portal over the olecranon with a single incision and periosteal detachment, allowing clean dissection and full fracture exploration for reduction reference.
• Provisional Reduction and Planning: Reduction assisted by forceps and fixation with Kirschner wire. Anatomical verification using the "fracture teeth." Planning for a second mini-access for distal screws.
• Subperiosteal Tunnel and Plate Passage: Dissection between extensor and flexor muscles to create a tunnel and introduce the long plate.
• Plate Fixation: Beginning with an eccentric dynamic screw for compression, followed by intramedullary provisional fixation. Replacement with subchondral locking screws for greater strength. A drill system streamlines the procedure.
• Percutaneous Screws: Distal insertion via mini-access and intermediate screw via percutaneous incision guided by palpation. Finalization with locking screws.
• Closure and Final Result: Anatomical closure of periosteum and skin, guided by dermographic markings. Minimally invasive technique preserves musculature and allows early postoperative mobility.

Included Material:

Detailed Procedure PDF: A comprehensive didactic document detailing the less invasive surgical approach for treating articular olecranon fractures, including surgical access and fracture exposure, provisional reduction, planning and plate passage, definitive fixation, percutaneous insertion of additional screws, and closure.

Enhance your elbow surgery skills. Enroll now and master minimally invasive osteosynthesis of olecranon fractures, ensuring anatomical reduction, stable fixation, and early mobility for your patients.