The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Arthroscopic-assisted reduction and internal fixation of coronoid process fracture

Author : WANG Jun, LIU Hao-yuan,YE Zhi-yang, XIE De-sheng, HUANG Jian-min     
Working unit : Orthopaedic Center, Chenggong Hospital (The 174 th Hospital of PLA), Xiamen University, Xiamen 361003, China
Page : 1132-1136
Key words : elbow arthroscopy, ACL guider, ulnar coronoid process fracture, O?? Driscoll classification, stability
Abstract: [Objective] To introduce experiences of arthroscopic-assisted reduction and internal fixation of coronoid process fracture. [Method] From November 2014 to November 2016, 12 patients, including 8 males and 4 females aged 21-58 years with an average of (38.12±13.5) years, underwent arthroscopic-assisted reduction and internal fixation with two Kirschner wires or cannulated screws under guiding by an ACL guider and the exchange rod for ulnar coronoid process fracture. Of them, 2 patients were  accompanied with radial head fracture, 6 with bone edema at LCL humeral insertion on MRI, and 3 with MCL injury, but none of the patients showed obvious instability of elbow joints. In term of O?? Driscoll classification, 2 patients were of Type I, 8 of Type II and 2 of Type III. [Results] Under the assistance of the elbow arthroscopy, all the 12 patients had the coronoid process fracture reduced and fixed with the implants properly located in the postoperative  adiographs and CT scans. The patients were followed up for 1 to 2 years with an average of (15.23±10.31) months. All of them  achieved bony healing eventually, with Morrey scores of (94.20±2.23) scores, graded as the excellent. [Conclusion]  rthroscopic-assisted reduction and internal fixation of coronoid process fracture do provide improved direct visualization for surgical manipulation to avoid iatrogenic injury of soft tissues surrounding the elbow joints as much as possible and protect the functions of the elbow joints.
summary:
Arthroscopic-assisted reduction and internal fixation of coronoid process fracture   
WANG Jun, LIU Hao-yuan,YE Zhi-yang, XIE De-sheng, HUANG Jian-min
Orthop J Chin,2018,26(12):   1132-1136