[Plate osteosynthesis of the coronoid process of the ulna].

[Plate osteosynthesis of the coronoid process of the ulna]. Oper Orthop Traumatol. 2020 Jan 15;: Authors: Rausch V, Hackl M, Seybold D, Wegmann K, Müller LP 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 ...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research