Rausch, Valentin, Hackl, Michael, Seybold, Dominik, Wegmann, Kilian and Mueller, Lars P. (2020). Plate osteosynthesis of the coronoid process of the ulna. Oper. Orthopade Traumatol., 32 (1). S. 35 - 47. MUNICH: URBAN & VOGEL. ISSN 1439-0981
Full text not available from this repository.Abstract
Objective: The aim of surgical treatment is reconstruction of the coronoid process' bony anatomy. Indications: Large shear fractures of the coronoid process (Regan-Morrey type II-III, O'Driscoll tip subtype 2 and basal subtype 1-2) and fractures of the anteromedial facet (O'Driscoll anteromedial subtype 1-3) can occur isolated or as part of the terrible triad injuries to the elbow. Due to the resulting instability of these injuries, surgical reconstruction is generally indicated. Contraindications: In case of major accompanying soft tissue injuries to the elbow or an elbow infection, primary operative treatment using anatomical plate osteosynthesis is contraindicated. Surgical technique: Plate osteosynthesis of the coronoid process is performed through a medial approach (Hotchkiss or M. flexor carpi ulnaris split). After repositioning of the fracture fragments, a preformed anatomical plate can be fixed to the coronoid process. Postoperative management: The arm is immobilized in an over-the-elbow cast until the wounds are dried. Afterwards, the elbow should preferably be treated functionally without varus or valgus stress. Results: Between January 2015 and July 2018, a total of 11 patients underwent osteosynthesis of the coronoid using anatomically preformed plate osteosynthesis. After a mean follow-up of 10.7 months, the mean Mayo Elbow Performance Score showed an excellent result with 78.89 points. The Quick Disabilities of Arm, Shoulder and Hand (Q-DASH) score showed a median of 18.64 points with a mean functional arc of 118 degrees.
Item Type: | Journal Article | ||||||||||||||||||||||||
Creators: |
|
||||||||||||||||||||||||
URN: | urn:nbn:de:hbz:38-346319 | ||||||||||||||||||||||||
DOI: | 10.1007/s00064-019-00647-6 | ||||||||||||||||||||||||
Journal or Publication Title: | Oper. Orthopade Traumatol. | ||||||||||||||||||||||||
Volume: | 32 | ||||||||||||||||||||||||
Number: | 1 | ||||||||||||||||||||||||
Page Range: | S. 35 - 47 | ||||||||||||||||||||||||
Date: | 2020 | ||||||||||||||||||||||||
Publisher: | URBAN & VOGEL | ||||||||||||||||||||||||
Place of Publication: | MUNICH | ||||||||||||||||||||||||
ISSN: | 1439-0981 | ||||||||||||||||||||||||
Language: | German | ||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||
Uncontrolled Keywords: |
|
||||||||||||||||||||||||
URI: | http://kups.ub.uni-koeln.de/id/eprint/34631 |
Downloads
Downloads per month over past year
Altmetric
Export
Actions (login required)
View Item |