[Ortho] Ложный сустав локтевого отростка

[Adonin]

я бы "убрал и выкинул"

цитата из Кэмпбелла
Nonunions of the olecranon proximal to the middle of the trochlear notch are not difficult to treat. When there is strong fibrous union, the disability may be only slight, and in middle-aged or elderly patients surgery may not be justified. If the ununited fragment is less than 50% of the olecranon surface, it can be simply excised, and the distal expansion of the triceps tendon is reattached to the ulna as for some fresh fractures (see Chapter 54). Contoured plating with bone grafting provides static compression and early elbow range of motion. Ring, Jupiter, and Gulotta reported excellent or good results in nine of 10 atrophic nonunions of the proximal ulna after autogenous bone grafting and plate fixation; the fair result was in a patient with a proximal radioulnar synostosis and severe ulnohumeral arthrosis.


Adonin