Olecranon Osteotomy Facilitated Elbow Release (OFER)

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Olecranon Osteotomy Facilitated Elbow Release (OFER)

By Scott Edwards 2 Videos

2,587 views

November 27, 2017

Olecranon osteotomy facilitated elbow release (OFER) provides excellent exposure of the joint with relative minimal ...
read more ↘ soft dissection and allows the surgeon to address all intrinsic and extrinsic causes of contracture in a safe and efficient manner with similar or better results compared to more traditional open or arthroscopic techniques.

An olecranon osteotomy provides a trap door through which the surgeon will have circumferential access to the joint and will be able to address all intrinsic and extrinsic causes of contracture. Access from the posterior to the anterior compartment is achieved by detaching the origin of medial collateral ligament (MCL) and hinging the joint medially to laterally pivoting around the intact lateral collateral ligament. Once the olecranon and MCL are repaired, the elbow is stable to participate in aggressive rehabilitation protocols.

Compared to most previous reports, patients undergoing the OFER demonstrated superior outcomes to those reported for either arthroscopic or more conventional open procedures. In addition, anecdotally, the authors report that performing the OFER procedure is substantially faster and technically easier than either other open or arthroscopic releases.
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