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The surgeon must be prepared to apply fixation specific to small osteochondral fracture fragments (eg headless screws and small threaded K-wires), in addition to standard plate and screw fixation.

Furthermore, autogenous bone grafting from the iliac crest may prove useful for supporting disimpacted articular fragments. 

Extensive access to the articular surface is necessary, so an olecranon osteotomy is preferred.