Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Rausch, Valentin UNSPECIFIED UNSPECIFIED UNSPECIFIED Hackl, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Seybold, Dominik UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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:	Keywords Language RADIAL HEAD; FRACTURE; ELBOW; RECONSTRUCTION; INSTABILITY; DISLOCATION; INJURY Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34631