{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:09Z","timestamp":1791812769444,"version":"4.3.4"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Olecranon nonunion is an uncommon complication of proximal ulna fractures that can cause pain, deformity, and functional limitation. It usually arises from inadequate fixation, comminution, or impaired healing biology. Timely surgical intervention is often required to restore elbow function. A 34-year-old female, right-hand dominant homemaker presented with persistent deformity, weakness in extension, and difficulty performing overhead activities 4 months after a conservatively managed right elbow injury. Clinical examination revealed a palpable olecranon defect, and radiographs confirmed an atrophic nonunion. She underwent revision open reduction and internal fixation with a locking compression plate and autologous iliac crest bone grafting. Early rehabilitation was commenced postoperatively. Radiographic union was achieved at 12 weeks, and by 6 months, the patient regained satisfactory function, with a Mayo Elbow Performance Score of 90. Revision fixation with bone grafting provides reliable union and functional recovery in cases of olecranon nonunion. Awareness of this rare but disabling complication is essential, as timely surgical management can restore elbow stability, strength, and patient independence in daily activities.<\/jats:p>","DOI":"10.4103\/aam.aam_863_25","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:00:10Z","timestamp":1780981210000},"page":"S553-S558","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Revision Open Reduction and Internal Fixation with Autologous Iliac Crest Bone Grafting for Atrophic Olecranon Nonunion in a Middle-aged Woman"],"prefix":"10.4103","volume":"25","author":[{"given":"Ketan Ajay","family":"Kulkarni","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Taneja","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kale","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachit","family":"Mitra","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital and Research Centre, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urva Shantilal","family":"Dholu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"R1-20261012","doi-asserted-by":"crossref","first-page":"2255","DOI":"10.1007\/s00068-021-01765-2","article-title":"Epidemiology, classification and treatment of olecranon fractures in adults: An observational study on 2462 fractures from the Swedish fracture register","volume":"48","author":"Br\u00fcggemann","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R2-20261012","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.jseint.2021.11.015","article-title":"Epidemiology of isolated olecranon fractures: A detailed survey on a large sample of patients in a suburban area","volume":"6","author":"Cantore","year":"2022","journal-title":"JSES 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randomized trial","volume":"99","author":"Duckworth","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"R12-20261012","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s12306-018-0556-6","article-title":"Tension band wiring versus locking plate fixation for simple, two-part mayo 2A olecranon fractures: A comparison of post-operative outcomes, complications, reoperations and economics","volume":"103","author":"Powell","year":"2019","journal-title":"Musculoskelet Surg"},{"key":"R13-20261012","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.jseint.2024.12.017","article-title":"Surgical outcomes after reoperation of intra-articular proximal ulna fractures","volume":"9","author":"Azib","year":"2025","journal-title":"JSES Int"},{"key":"R14-20261012","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1302\/2058-5241.5.190041","article-title":"Displaced olecranon fractures in the elderly: Outcomes after non-operative treatment \u2013 A narrative review","volume":"5","author":"Savvidou","year":"2020","journal-title":"EFORT Open Rev"},{"key":"R15-20261012","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1177\/1558944720944261","article-title":"Nonoperative management of olecranon fractures in elderly patients: A systematic review","volume":"17","author":"Alvara","year":"2022","journal-title":"Hand (N Y)"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_863_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:34Z","timestamp":1791810094000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_863_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,8]]},"references-count":13,"journal-issue":{"issue":"Suppl 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