scholarly journals Proximal ulna comminuted fractures: Fixation using a double-plating technique

2010 ◽  
Vol 96 (7) ◽  
pp. 734-740 ◽  
Author(s):  
S. Rochet ◽  
L. Obert ◽  
D. Lepage ◽  
B. Lemaire ◽  
G. Leclerc ◽  
...  
Keyword(s):  
Proximal Ulna ◽  
Plating Technique ◽  
Comminuted Fractures ◽  
Double Plating

Comminuted fractures of the proximal ulna—Preliminary results with an anatomically preshaped locking compression plate (LCP) system

Injury ◽  
2010 ◽  
Vol 41 (12) ◽  
pp. 1306-1311 ◽  
Author(s):  
S. Siebenlist ◽  
T. Torsiglieri ◽  
T. Kraus ◽  
R.D. Burghardt ◽  
U. Stöckle ◽  
...  
Keyword(s):  
Locking Compression Plate ◽  
Proximal Ulna ◽  
Preliminary Results ◽  
Compression Plate ◽  
Comminuted Fractures

Treatment of Comminuted Fractures of the Proximal Ulna - A Challenge

Swiss Surgery ◽  
2002 ◽  
Vol 8 (4) ◽  
pp. 187-192 ◽  
Author(s):  
Platz ◽  
Payne ◽  
Trentz
Keyword(s):  
Anatomische Rekonstruktion ◽  
Offene Fraktur ◽  
Proximal Ulna ◽  
Retrospektive Analyse ◽  
Frühfunktionelle Nachbehandlung ◽  
Comminuted Fractures

Fragestellung: Mehrfragmentäre proximale Ulnafrakturen sind schwierig zu behandelnde Verletzungen, oft kompliziert durch Mitbeteiligung des Ellbogengelenkes und kompromittierte Weichteile. Die Behandlung dieser Frakturen ist anspruchsvoll und eine Herausforderung. Wegen der Begleitverletzungen (Luxationen im humero-ulnaren Gelenk und Frakturen des Radiusköpfchens) sind die Resultate oft nur mässig. Anhand unseres Patientengutes sind wir im Sinne einer Qualitätskontrolle der Frage nachgegangen, ob die Resultate der Behandlung dieser Frakturen durch die Schwere der Fraktur bedingt sind, oder ob andere Faktoren wie beispielsweise das Ausmass des Weichteilschadens vorliegen, die den Outcome negativ beeinflussen. Methodik: Retrospektive Analyse von 18 Patienten mit mehrfragmentären proximalen Ulnafrakturen. Neben den C-Frakturen gemäss AO-Klassifikation wurden auch A1, A3, B1 bzw. B3 Frakturen mit in die Studie eingeschlossen. Klinische und radiologische Kontrollen erfolgten routinemässig 1/2-1 Jahr postoperativ bzw. je nach Knochenheilung und Arbeitsaufnahme bis 48 Monate postoperativ. Die Erfassung der Ellbogenfunktion erfolgte mit Hilfe des Morrey-Scores ein Jahr nach dem Unfall. Ergebnisse: Gemäss AO Klassifikation erlitten von den 18 Patienten je vier eine A-Fraktur bzw. eine B-Fraktur und zehn Patienten eine C-Fraktur. Bei acht von 18 Patienten lag eine offene Fraktur vor. In 10/18 der Patienten war zusätzlich das Radiusköpfchen frakturiert und in 9/18 der Fälle bestand eine Luxation im humero-ulnaren Gelenk. Die Funktion betrug bei der Ein-Jahreskontrolle durchschnittlich: Extension/Flexion 0 / 20 / 120 Grad bzw. Pronation/Supination 70 / 0 / 70 Grad. Die Bewertung nach dem Morrey-Score ergab bei zehn Patienten exzellente bis gute Resultate, mässige Resultate bei vier Patienten und bei vier Patienten musste das Resultat als schlecht bezeichnet werden. Schlussfolgerungen: Wegen Begleitverletzungen (Luxationen, Radiusköpfchenfrakturen) sind trotz korrekter Einschätzung der Schwere der Verletzung und adäquater Behandlung, die Resultate als mässig zu bezeichnen. Ziel ist eine stabile anatomische Rekonstruktion, die eine frühfunktionelle Nachbehandlung erlaubt.

scholarly journals A Study on Functional Outcomes after Plating of Middle Third Fractures of Clavicle

2020 ◽  
Vol 7 (47) ◽  
pp. 2793-2798
Author(s):  
Pardhasarathi B ◽  
Balaji Rao R ◽  
Manikumar C.J.
Keyword(s):  
Functional Outcome ◽  
Conservative Management ◽  
Functional Outcomes ◽  
Clavicle Fracture ◽  
Dash Score ◽  
Non Union ◽  
Plating Technique ◽  
Fracture Clavicle ◽  
Comminuted Fractures ◽  
Clavicle Fractures

BACKGROUND Fracture clavicle is one of the most common conservatively treated fractures. Conservative management showed lesser rates of non-union and satisfactory results for fracture clavicle initially. Recent studies showed that the functional outcome following conservative management was not as optimal as it was thought to be. With changing injury patterns, increased incidence of high velocity trauma and increased functional demands of the modern patients which led to thorough evaluation of the functional outcomes following conservative management of fracture clavicle, the outcome was not optimal. Recent studies showed increased rate of non-union among conservatively managed cases compared to those which were fixed internally. Some found residual deficits among patients treated conservatively. We wanted to study the functional outcome and complications following internal fixation of clavicle fractures by using plating techniques. METHODS This prospective study was done in Department of Orthopaedics, Andhra Medical College, Visakhapatnam. We studied functional outcome of 30 fractures of clavicle which were fixed using plating technique during the period October 2016 - October 2018. Thirty patients (n = 30) were treated with plating technique using precontoured locking plates and recon plates. The fractures in this study were middle third clavicle fractures which were divided into two types based on the classification of Robinson. Type 2 Robinson clavicle fracture implies that it is a middle third clavicular fracture, which is further divided based on fracture morphology. 2b1: Displaced simple or wedge comminuted fractures 2b2: Segmental comminuted fractures. In this study, superior plating was done. The implants used were precontoured LCP and recon plates. Functional outcome was assessed using Constant Murley scoring and Quick Dash score at 10 weeks. The follow up period was for 1 year - October 2016 to October 2018. RESULTS The average time of union for the fractures treated with plating technique in our study was around 10.2 weeks. The mean Constant Murley score of our study was 91. Eighteen out of 30 patients had excellent outcomes. One patient had fair outcome due to stiffness of the shoulder. 10 patients had good result. The average DASH score of the patients was about 9.8. CONCLUSIONS Treatment of fracture middle third of clavicle using plating technique provides good functional outcome and faster recovery with minimal complications. KEYWORDS Clavicle A02.835.232.087.227, Wounds and Injuries C26, Postoperative Complications C23.550.767

Injuries to the Coronoid Process of the Ulna with Involvement of the Lesser Sigmoid Notch

2020 ◽  
Author(s):  
Valentin Rausch ◽  
Sina Neugebauer ◽  
Tim Leschinger ◽  
Lars Müller ◽  
Kilian Wegmann ◽  
...  
Keyword(s):  
Fragment Size ◽  
Coronoid Process ◽  
Annular Ligament ◽  
Concomitant Injuries ◽  
Proximal Ulna ◽  
Sigmoid Notch ◽  
Coronoid Fractures ◽  
The Mean ◽  
The Stability ◽  
Arthritic Changes

Abstract Introduction This study aimed to describe the involvement of the lesser sigmoid notch in fractures to the coronoid process. We hypothesized that injuries to the lateral aspect of the coronoid process regularly involve the annular ligament insertion at the anterior lesser sigmoid notch. Material and Methods Patients treated for a coronoid process fracture at our institution between 06/2011 and 07/2018 were included. We excluded patients < 18 years, patients with arthritic changes or previous operative treatment to the elbow, and patients with concomitant injuries to the proximal ulna. In patients with involvement of the lesser sigmoid notch, the coronoid height and fragment size (anteroposterior, mediolateral, and craniocaudal) were measured. Results Seventy-two patients (mean age: 47 years ± 17.6) could be included in the study. Twenty-one patients (29.2%) had a fracture involving the lateral sigmoid notch. The mean anteroposterior fragment length was 7 ± 1.6 mm. The fragment affected a mean of 43 ± 10.8% of the coronoid height. The mean mediolateral size of the fragment was 10 ± 5.0 mm, and the mean cranio-caudal size was 7 ± 2.7 mm. Conclusion Coronoid fractures regularly include the lesser sigmoid notch. These injuries possibly affect the anterior annular ligament insertion which is important for the stability of the proximal radioulnar joint and varus stability of the elbow.

Dynamic Proximal Ulnar Osteotomy for the Treatment of Ununited Anconeal Process in 17 Dogs

1998 ◽  
Vol 11 (02) ◽  
pp. 76-79 ◽  
Author(s):  
B. M. Turner ◽  
R. H. Abercromby ◽  
J. Innes ◽  
W. M. McKee ◽  
M. G. Ness
Keyword(s):  
Clinical Outcome ◽  
Prospective Study ◽  
Patient Population ◽  
Clinical Results ◽  
Radiographic Evaluation ◽  
Proximal Ulna ◽  
Ulnar Osteotomy ◽  
A Prospective Study

SummaryA prospective study was made of 17 dogs with ununited anconeal process treated by osteotomy of the proximal ulna. The effect of the surgery on lameness was evaluated subjectively and the elbows were assessed radiographically for evidence of anconeal fusion and healing of the osteotomy. Whilst clinical outcome was generally good and complications infrequent, relatively few cases achieved anconeal fusion. These results do not compare well with the results of a previous study but this disparity may be due in part to differences in patient population and radiographic evaluation.Further work is required to establish how best to achieve predictable anconeal fusion.Proximal ulnar osteotomy was used to treat 17 dogs with ununited anconeal process. Clinical results were good but anconeal fusion was not achieved consistently. Further work is needed to determine how best to achieve predictable anconeal fusion.

Long-Term Outcomes after Colton Type I and II Fractures of the Olecranon

2019 ◽  
Vol 13 (1) ◽  
pp. 208-216
Author(s):  
Thord von Schewelov ◽  
Fredrik Hertervig ◽  
Per-Olof Josefsson ◽  
Jack Besjakov ◽  
Ralph Hasserius
Keyword(s):  
Joint Space ◽  
Type I ◽  
Type Ii ◽  
Men And Women ◽  
Radiographic Outcomes ◽  
Fracture Event ◽  
Comminuted Fractures ◽  
Fracture Types ◽  
Transverse Fractures ◽  
Olecranon Fractures

Background: It is unclear if the outcomes differ in different subtypes of olecranon fractures. Objective: Evaluate the outcomes of different Colton types of olecranon fractures, and if outcomes differ in dominant and non-dominant arms and in men and women. Methods: We evaluated primary journals and radiographs in 40 men and 55 women with isolated olecranon fractures and classified fractures according to Colton. Mean 19 years after fracture event, we re-examined subjective, clinical and radiographic outcomes in the former patients, using the uninjured arms as controls. Results: 89% of patients with Colton type I fractures reported at follow-up no subjective differences between the elbows, 84% with type II oblique/transverse fractures and 84% with type II comminuted fractures (p=0.91). The uninjured to former fractured arm differences in elbow range of motion and strength were no different in the 3 fracture types, the proportions of individuals with radiographic elbow degenerative changes were greater in type II than in type I factures (p<0.001), and there were no differences between the proportions of individuals with reduced joint space in the 3 groups (p=0.40). The outcomes were no different if the fractures had occurred in the dominant or non-dominant arms (p=0.43), or in men or women (p=0.43). Conclusion: There were no different outcomes after Colton type I, type II oblique/transverse or type II comminuted fractures, no different outcomes between fractures in dominant or non-dominant arms and no different outcomes in men and women.

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