Coronoid Fixation Using Suture Anchors

Clarke, Sylvan E.; Lee, Sue Y.; Raphael, James R.

doi:10.1007/s11552-008-9142-y

Cited by 30 publications

(10 citation statements)

References 29 publications

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“…17 In recent studies, the operative management of the coronoid fracture remains challenging. Options include a suture lasso technique, 14 suture anchors, 14,17 lag screws, 14,17,24,25 or plates. 5,7,14,15,26 Garrigues et al 14 reported that a retrospective chart review performed at three tertiary care centers identified 40 consecutive patients treated for terrible triad injuries of the elbow with a minimum follow-up of 18 months.…”

Section: Discussionmentioning

confidence: 99%

Direct anterior approach for mini plate fixation of Regan–Morrey type II comminuted ulnar coronoid process fracture

Shen

Qiu

Yi-bin

et al. 2019

J Orthop Surg (Hong Kong)

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Background: The goal of this study was to evaluate the clinical effect of Regan-Morrey type II comminuted coronoid process fracture treated with mini plate through the direct anterior approach (DAA). Methods: Ten patients who underwent open reduction and internal fixation (ORIF) with mini plate through the DAA between February 2013 and August 2016 was included. There were three women and seven men, with an average age of 34.4 + 7.5 years. At the final follow-up, the Mayo Elbow Performance Index (MEPS), Visual Analogue Scale (VAS) score, Disability of the Arm, Shoulder, and Hand (DASH) score, and the elbow range of motion were noted. Results: The mean follow-up was 26.3 + 2.2 (range 24-31) months. The mean elbow arc of motion was 118.5 with a mean arc of extension of 4 + 5.2 and flexion of 122.5 + 7.2 .The mean forearm pronation was 72 + 7.2 , and the mean supination was 68 + 6.3 with a mean forearm rotation arc of 140. The average postoperative score according to the MEPS was 91 + 5.7 points (range 80-100 points), and all patients achieved satisfactory scores (8 excellent and 2 good). The final average VAS score was 0.6 + 1 (range 0-3). The final average DASH score was 4.0 + 1.6 (range 2.3-7.4). None of the patients complained about elbow instability that required secondary surgery. No complications of infection, joint incongruency, fracture nonunion, median nerve palsy, or implant failure were reported. Conclusions: ORIF with mini plate through the DAA for the treatment of the type II comminuted coronoid process fractures can achieve satisfactory outcomes.

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Section: Discussionmentioning

confidence: 99%

Direct anterior approach for mini plate fixation of Regan–Morrey type II comminuted ulnar coronoid process fracture

Shen

Qiu

Yi-bin

et al. 2019

J Orthop Surg (Hong Kong)

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“…Therefore, in an unstable posterior Monteggia-like lesion with fracture of the coronoid process, stable reduction of the coronoid fracture is necessary to restore ulnohumeral articulation, thereby providing elbow stability and minimizing the risk of future ulnohumeral arthritis due to chronic instabil-ity [10,28]. Depending on the fracture pattern, repair of the coronoid fracture can be realized either directly by ORIF with screws, volar plating, or suture anchors [6,30], or with the lasso technique by passing a suture through the anterior capsular attachment, shuttling it through the ulna, and tying it down on the subcutaneous posterior border of the ulna [9,30]. Another possible technique is indirect osteosynthesis from the posterior ulna through the olecranon plate.…”

Section: Discussionmentioning

confidence: 99%

Monteggia-like lesions

et al. 2018

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“…L'ostéosynthèse des fractures du PC a une meilleure résistance mécanique que celle d'une ostéosuture utilisée pour la synthèse des petits fragments [14,15]. Le vissage est indiqué lorsque le fragment est important.…”

Section: Discussionunclassified