Versatility of Olecranon Bone Graft in Hand Surgery

Journal of the Korean Society for Surgery of the Hand 2004;9(3):143-148.
Published online September 1, 2004.

Byung Min Yun, Jun Hyek Kim, Eun Su Park, Sung Kyeun Jung

수부 수술에 있어서 주두골 이식의 유용성

윤병민, 김준혁, 박은수, 정성균

Abstract

Purpose
The purpose of this study was to investigate the versatility of olecranon bone graft in hand surgery. Materials and Methods: We reviewed 7 patients retrospectively whose bone graft sites were olecranon. The transverse or longitudinal incision was performed to expose the olecranon. The periosteum was stripped by elevator. The corticocancellous bone was cutted with oscillating saw. The bone graft was liberated from the olecranon with osteotome. We analyzed the clinical findings, preoperative and postoperative radiographs, operation time, size of bone graft, method of anesthesia, and postoperative scar change. Results: The average graft size was 2.75 cm¡¿1 cm¡¿ 1 cm. The composition of graft was mostly corticocancellous bone. Donor site morbidity was minimal. In all the cases, bone fusion was well achieved. Conclusions: These results suggest that the olecranon is an suitable donor site for small sized autogenous graft based on the minimal donor site morbidity and feasibility of the graft.