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            [0] => Management of non union of olecranon osteotomy : an approach inspired by Matti-Russe technique
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    [etablissement] => Array
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            [0] => Rabta hospital
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    [nom] => Array
        (
            [0] => khlif
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    [prenom] => Array
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            [0] => mohamed ali
        )

    [email] => Array
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            [0] => dalykhlif1@yahoo.fr
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            [0] => 27256830
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            [0] => 
 
Nom prénom / Name Surname: Mahjoubi Seifeddine
Email: seifeddinemahjoubi@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Khlif Mohamed Ali
Email: dalykhlif1@yahoo.fr
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Abcha Yosri
Email: abcha_yosri@hotmail.fr
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Ben Ayed Mehdi
Email: b.ayed.mehdi@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Zitouna Khaled
Email: kh.zitouna@laposte.net
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Barsaoui Maher
Email: barsaoui.maher@yahoo.fr
Hôpital / Hospital: Rabta hospital

        )

    [mots_cles] => Array
        (
            [0] => non union;
olecranon osteotomy;
bone grafting;

        )

    [event-id] => Array
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            [0] => 3663
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            [0] => 1
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    [user_email] => Array
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            [0] => dalykhlif1@yahoo.fr
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    [specialite] => Array
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            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
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            [0] => Tunisie
        )

    [texte_abs] => Array
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            [0] => Background: Non union is a rare but debilitating complication of olecranon osteotomies. The challenge lies in achieving bone union in this area subjected to significant mechanical stresses. The Matti-Russe technique is effective in treating scaphoid non union, offering an intriguing approach to addressing this challenge. The aim of this work is to present a novel approach inspired by this technique for addressing  non union after olecranon osteotomy.

Methods: We present a technique for treating non union following an olecranon osteotomy in a 32-year-old female patient with history of rheumatoid arthritis, inspired by the Matti-Russe method, combining bone grafting and osteosynthesis. The osteotomy was carried out during a surgery for a supracondylar and intercondylar fracture of the right elbow.

Result: At three months, radiographic assessment confirmed bone heeling at the non union site. At six months, significant improvement in elbow mobility was observed, allowing the patient to resume daily activities. After one year, the osteosynthesis material was successfully removed.

Discussion and conclusion: Articular olecranon osteotomy provides good exposure of distal humeral fracture pattern but is associated with non union risk. Our choice of surgical method draws from the Matti-Russe technique renowned for its effective bone healing. The technique described offers an additional option for orthopedic surgeons even in poor quality bone.
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