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  Indian J Med Microbiol
 

Figure 5: Concurrent coronal plane fragment fixation by medial/lateral double plating (Method 4) in a 43-year-old woman injured by falling from a height (Case 12). (a) Mayo type IIB olecranon fractures with coronal plane fragment and other fragments (asterisks) split in the sagittal plane. (b) The comminuted fragments (”roof”) in the distal metaphyseal area were identified after hematoma removal and debridement. Coronal plane fragment was reduced by Kocher forceps, with contact of the coronoid process to the distal humeral articular surface after “opening the roof.” Thus, medial and lateral walls were reinforced by both sides of the locking plate in an interdigitating pattern. Then, we closed the cuboid (i.e., the roof, or previously opened fragment) after packing the morselized and grafted bone, finally fixing the olecranon fragment to the solid cuboid using the long olecranon plate. (c) At the final followup, well-consolidated fragments without definitive arthritic changes in the elbow joint were observed. (d) The flexion extension arc was 130° at the final followup

Figure 5: Concurrent coronal plane fragment fixation by medial/lateral double plating (Method 4) in a 43-year-old woman injured by falling from a height (Case 12). (a) Mayo type IIB olecranon fractures with coronal plane fragment and other fragments (asterisks) split in the sagittal plane. (b) The comminuted fragments (”roof”) in the distal metaphyseal area were identified after hematoma removal and debridement. Coronal plane fragment was reduced by Kocher forceps, with contact of the coronoid process to the distal humeral articular surface after “opening the roof.” Thus, medial and lateral walls were reinforced by both sides of the locking plate in an interdigitating pattern. Then, we closed the cuboid (i.e., the roof, or previously opened fragment) after packing the morselized and grafted bone, finally fixing the olecranon fragment to the solid cuboid using the long olecranon plate. (c) At the final followup, well-consolidated fragments without definitive arthritic changes in the elbow joint were observed. (d) The flexion extension arc was 130° at the final followup