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Treatment of nonunion around the olecranon fossa of the humerus by intramedullary locked nailing

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Nonunion of fractures of the olecranon fossa of the humerus presents a difficult surgical problem. The distal fragment is usually small and osteoporotic and stable fixation is not easy to achieve. We describe a modification of the technique of locked nailing by which the distal aspect of the nail is placed in the subchondral region of the trochlea. Good results were obtained in seven out of eight patients with this technique.

Correspondence should be sent to Dr O. N. Paramasivan at the Trauma and Orthopaedic Unit, Kovai Medical Centre and Hospitals, PO Box 3209, Avinashi Road, Coimbatore 641014, India.

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