Reconstruction for persistent instability of the elbow after coronoid fracture-dislocation

Papandrea, Rick F.; Morrey, B.F.; O’Driscoll, Shawn W.

doi:10.1016/j.jse.2006.03.011

Cited by 109 publications

(66 citation statements)

References 46 publications

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“…The coronoid fracture is the most important part of complex elbow injuries, and the initial focus must be on coronoid fractures [18,19]. Ligamentous injuries observed in association with coronoid fractures have been described with a lateral collateral ligament injury being the most important part of these types of injuries [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…Ligamentous injuries observed in association with coronoid fractures have been described with a lateral collateral ligament injury being the most important part of these types of injuries [20,21]. Several studies addressed the characteristic lateral soft tissue injury pattern and stated that repair of these lateral soft tissue structures should be an integral part of the surgical strategy [18][19][20]. A previous study demonstrated that comminution of a fracture fragment is unfavorable for the functional outcome [22].…”

Section: Discussionmentioning

confidence: 99%

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Coronoid plate fixation of type II and III coronoid process fractures: outcome and prognostic factors

Lee

Kim

et al. 2011

Eur J Orthop Surg Traumatol

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The purpose of the present study was to determine the clinical outcome and prognostic factors after applying the coronoid plate fixation technique who had sustained type II or III coronoid process fractures. Fifteen consecutive patients were enrolled in this study. The mean arc of flexion-extension was 116°with a mean flexion and flexion contracture of 126°and 11°, respectively. The mean arc of forearm rotation was 158°with a mean pronation and supination of 78°and 80°, respectively. The mean Mayo Elbow Performance Score (MEPS) was 88 points (range, 70-100 points), which corresponded to an excellent result in ten elbows, good result in four and fair result in one. All the isolated coronoid fractures (8 patients) (there was no combined injury) and nine of the eleven (82%) noncomminuted coronoid fractures (the existence of one or two fracture fragments) had excellent functional results in accordance with the MEPS (average MEPS was 93.8 and 93.3, respectively). Patients with less favorable results according to the MEPS had lateral side injuries, such as lateral collateral ligament injures or radial head fractures (mean MEPS 78.0) The average functional score (MEPS) of the patients showing signs of arthritic changes was 76.7. Based on our experience, coronoid plate fixation of type II and III coronoid process fractures is an acceptable and alternative method that can provide good results. However, acceptable clinical outcomes are not only related to the successful rigid internal fixation of the coronoid fracture but depend on the severity of the primary injury and associated soft tissue injuries. The comminution of the fracture fragment, associated lateral collateral ligament injuries, and posttraumatic arthritic changes can be considered indicators of a poor functional outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Coronoid plate fixation of type II and III coronoid process fractures: outcome and prognostic factors

Lee

Kim

et al. 2011

Eur J Orthop Surg Traumatol

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“…Das chronisch dezentrierte Ellenbogengelenk stellt sich bereits in der statischen Röntgendiagnostik als Gelenkinkongruenz dar ( [31]; . Abb.…”

Section: Diagnostikunclassified

“…Van Riet et al [48] den Kräfte können ein bis zu 4-faches des Körpergewichts betragen und lasten damit als Schubkraft auf der Koronoidaufbauplastik [10,11]. Die Entlastung des Transplantates bis zur Einheilung kann auch über einen Bewegungsfixateur erreicht werden, der für 6 Wochen unter freigegebener Extension und Flexion belassen wird [11,31,35,44,48].…”

Section: Introductionunclassified

Chronische knöcherne Instabilitäten des Ellenbogengelenkes

Geßmann

Königshausen

Schildhauer

et al. 2017

Trauma Berufskrankh

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“…B. vorausgegangene Operationen mit primärem oder sekundärem Rekonstruktionsversuch) angepasst werden können und müssen. Da eine bereits fortgeschrittene Arthrose wie auch bei den knöchernen Rekonstruktionen [18,37] [20,24]. Auf der anderen Seite gilt es allerdings, alternative gelenkopfernde Eingriffe mög-lichst lange hinauszuzögern bzw.…”

Section: Indikation Zur Operativen Stabilisierungunclassified