Plate Fixation for Fractures of the Coronoid Process of the Ulna

Shin,  Dong Ju; Byun,  Young Soo; Cho,  Young Ho; Park,  Ho Won; Youn,  Hee Min; Han,  Jae Hui

doi:2008.11.2.177

Clin Shoulder Elb > Volume 11(2); 2008 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2008;11(2):177-184.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.177 Published online December 31, 2008.

Plate Fixation for Fractures of the Coronoid Process of the Ulna

Dong Ju Shin, Young Soo Byun, Young Ho Cho, Ho Won Park, Hee Min Youn, Jae Hui Han

Department of Orthopedic Surgery, Fatima Hospital, Daegu, Korea. fatimaos@unitel.co.kr

금속판을 이용한 구상돌기 골절의 치료

신동주·변영수*·조영호·박호원·윤희민·한재휘

대구파티마병원 정형외과

Abstract

PURPOSE
The purpose of this study was to evaluate the results of eight cases of coronoid process fractures that were fixed with a plate. MATERIALS AND METHODS: Eight coronoid process fractures were treated by plating and these cases were reviewed retrospectively. Six patients were men and two were women. The average age was 41 years (range: 22-79) at the time of injury. According to Regan's classification, there were five type 2 and three type 3. According to O'Driscoll's classification, there were five anteromedial type and three base type. Open reduction and internal fixation with a plate were performed through a medial approach by splitting of the two heads of the flexor carpi ulnaris. The patients were follow-up for a mean of 15.8 months (range: 6-25). We evaluated the clinical outcomes with using the Mayo Elbow Performance Score.
RESULTS
The average active motion of the elbow joint was 120 degrees. The average Mayo Elbow Performance Score was 86.9. There were 5 excellent results, 1 good result and 2 fair results. SUMMARY: Plating through a medial approach of the elbow provided stable fixation and satisfactory union for treating displaced coronoid process fractures with the unstable elbow.

Key Words: Coronoid process fracture; Plate fixation; Internal fixation