Case Report: Management of Post-Operative Infected Non-Union with Osteoarticular Bone Loss of the Olecranon in a 27-Year-Old Male Using the Masquelet Technique
Abstract
Olecranon fractures are common fractures that are usually caused by direct trauma. It can result in complications such as infection, non-union, and bone loss which can significantly impact patient healing and recovery. This case report discusses the successful management of a 27-year-old male patient who presented with a postoperative infected non-union of the olecranon with associated osteoarticular bone loss. The patient was involved in an accident in which he sustained a shaft fracture of the right humerus, a fracture of the medial epicondyle of the right humerus, and a fracture of the right olecranon. He underwent open reduction and internal fixation (ORIF) surgery with plating of both the humerus, medial epicondyle, and tension band for the olecranon. However, complications arose, including infection and subsequent non-union, leading to a discharging sinus and significant bone loss from the olecranon. This was treated with dressing and antibiotics. He presented to our out-patient department (OPD) 6 months after his first surgery with two problems: postoperative osteomyelitis with non-union with osteochondral bone loss with failure of fixation of olecraonon and non-union of the humeral shaft fracture.
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