• Tae-Yeong Kim, Jae-Shin Yang, and Jung-Taek Hwang.
• Department of Orthopaedic Surgery Hallym University Chuncheon Sacred Heart Hospital, Gangwon-do, Korea.
• Medicine (Baltimore). 2024 Apr 5; 103 (14): e37700e37700.

RationaleThe nonunion of olecranon fractures is uncommon in simple fractures, and it is challenging to treat surgically due to the disruption of the anatomy of the elbow joint. There is limited literature on surgical options, and several factors to determine the treatment, including the amount and quality of bone stock, age, and degree of articular damage.Patient ConcernsA 58-year-old man presented at the clinic with neglected olecranon fracture for 1 year (case 1). A 74-year-old man (case 2) presented with consistent pain and limited of motion after surgery for olecranon fracture.DiagnosisBoth patients were diagnosed with olecranon nonunion.InterventionBoth patients received the excision of nonunited fragment and reattaching with V-Y advancement of triceps.OutcomesRange of motion and Mayo elbow performance score were improved after surgery.LessonsThis technique is useful in patients who cannot undergo other surgical options due to insufficient bone quality and elbow function, and it can lead to satisfactory outcomes with an acceptable range of motion and pain relief.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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