Das ärztliche Gutachten

Perlick, L.; Köck, F. X.; Anders, S.; Grifka, J.

doi:10.1007/978-3-642-13111-0_36

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…During the clinical follow-up examination, circumference measurements and motion ranges of the arm’s joints were documented using a standardised measurement log (form F4222 [15]). The stability of the elbow joint was measured with a protractor in steps of 5 degrees via varus-valgus stress in the extended position and as a deviation of the longitudinal axis.…”

Section: Materials and Methodologymentioning

confidence: 99%

Midterm Results of 58 Fractures of the Coronoid Process of the Ulna and their Concomitant Injuries

Kiene¹,

Wäldchen²,

Paech³

et al. 2013

TOORTHJ

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Background:In general, fractures of the coronoid process are rare and usually occur in combination with additional elbow joint injuries. The treatment of these injuries aims to regain a stable as well as a flexible and loadable joint. Although there is currently little evidence, therapy recommendations remain controversial. Therefore, the aim of this study was to prognostically determine relevant factors for therapy recommendation by analysing a representative patient population of two trans-regional trauma centres.Material and Methods:Seventy-seven patients with a fracture of the coronoid process were treated within an 8-year period (2001 to 2009). After an average of 48 months (SD 31), treatment outcome of 58 patients (75%) was acquired. The results were statistically analysed.Results:The average age of the patient was 51.8 years (SD 13.6); 36 were male and 34 had a fracture on the right arm. Applying the fracture types of the coronoid process in accordance with Regan/Morrey, the result was: Type I (19), II (17) and III (22). Further injuries were also detected: 40 radial head fractures, 17 proximal ulnar fractures and 2 fractures of the olecranon. A luxation was detected in 44 of the 58 patients (76%). The patients’ average MEPS (Mayo Elbow Performance Score) was 80.6 points (SD 18), with significant differences between the various therapy strategies. Fifteen% of the coronoid process fractures were reconstructable to a limited extent only by means of osteosynthesis. In 33% of the patients, instabilities remained. The average extension/flexion came to 107° (SD 28), and pronation and supination 153° (SD 38).Conclusion:At present, a surgical therapy of ligamentary injuries cannot be statistically justified. A stable osseous reconstruction appears to make more sense. The strongest negative prognostic parameters in our patient population were: therapy with an external fixator, immobilisation for more than 21 days, the occurrence of complications and unstable osteosyntheses on the coronoid process.

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Section: Materials and Methodologymentioning

confidence: 99%

Midterm Results of 58 Fractures of the Coronoid Process of the Ulna and their Concomitant Injuries

Kiene¹,

Wäldchen²,

Paech³

et al. 2013

TOORTHJ

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“…Follow-up was conducted after 55.6 months on average with clinical and radiological examination. The range of movement within the joint and muscle circumference were assessed using a standardized evaluation form [ 4 ] [form F4224].…”

Section: Materials and Methodologymentioning

confidence: 99%

Multifragmentary Tibial Pilon Fractures: Midterm Results After Osteosynthesis with External Fixation and Multiple Lag Screws

Kiene¹,

Herzog²,

Jürgens³

et al. 2012

TOORTHJ

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Osteosynthesis of intraarticular tibial pilon fractures is preferably achieved using locking plates via a minimally invasive technique. If combined with severe soft tissue damage there is a high risk of wound-healing deficits after plate osteosynthesis. Thus our aim was to find an alternative method of treatment for those cases with combined soft tissue injuries.We report on five cases with comminuted fractures of the joint surface combined with critical soft tissue condition that were treated with lag screws and external fixation (AO) applied across the ankle joint. All five patients were followed up, undergoing clinical and radiological examination.Using this approach we achieved fracture healing of comminuted fractures without further complications. Clinical follow-up after an average of 55.6 (36–75) months revealed a mean AOFAS score of 81 (62–100).We therefore propose combined treatment using lag screws with external fixation as a practical treatment option for those fractures for which lag screws combined with a locking plate are not feasible or when there is a high risk of wound-healing deficits due to severe soft tissue damage.

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Mittelfristige Behandlungsergebnisse von 19 Processus-coronoideus-Frakturen und ihren Begleitverletzungen

et al. 2012

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Das ärztliche Gutachten

Cited by 5 publications

References 3 publications

Midterm Results of 58 Fractures of the Coronoid Process of the Ulna and their Concomitant Injuries

Midterm Results of 58 Fractures of the Coronoid Process of the Ulna and their Concomitant Injuries

Multifragmentary Tibial Pilon Fractures: Midterm Results After Osteosynthesis with External Fixation and Multiple Lag Screws

Mittelfristige Behandlungsergebnisse von 19 Processus-coronoideus-Frakturen und ihren Begleitverletzungen

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