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KMID : 0858320080110020177
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Journal of the Korean Shoulder Elbow Society
2008 Volume.11 No. 2 p.177 ~ p.184
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Plate Fixation for Fractures of the Coronoid Process of the Ulna
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Shin Dong-Ju
Cho Young-Ho
Byun Young-Soo
Youn Hee-Min
Park Ho-Won
Han Jae-Hui
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Abstract
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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˚. 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.
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KEYWORD
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Coronoid process fracture, Plate fixation, Internal fixation
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