scholarly journals Single pulley double-strand anchor suture fixation of the coronoid process in terrible triad of the elbow injury

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kai-Cheng Lin ◽  
Wei-Yi Lai ◽  
Yi-Ping Yang ◽  
Yi-Yin Lin ◽  
Tzu-Wei Lin ◽  
...  
Keyword(s):  
Coronoid Process ◽  
Suture Fixation ◽  
Terrible Triad ◽  
Elbow Injury ◽  
Anchor Suture

scholarly journals Single Pulley Double-strand Anchor Suture Fixation of the Coronoid Process in Terrible Triad of the Elbow Injury

2021 ◽  
Author(s):  
Yih-Wen Tarng ◽  
Kai-Cheng Lin
Keyword(s):  
Suture Anchor ◽  
Case Series ◽  
Suture Technique ◽  
Coronoid Process ◽  
Fixation Method ◽  
Type I ◽  
Terrible Triad ◽  
Level Of Evidence ◽  
Elbow Injury ◽  
Anchor Suture

Abstract Background: Terrible triad of the elbow injury is difficult to manage, and the role of the coronoid process in instability is very important. We describe a simple, modified suture technique to fix a coronoid process fragment using suture anchor fixation.Methods: Eight patients (3 female and 5 male) with coronoid process injuries with the fragment involving <50% of the total height (Reagan-Morrey type I/II) in terrible triad of elbow injury were included. Patients were treated operatively via a lateral Kocher’s approach, and coronoid process fractures were repaired with a single pulley double-strand suture technique. Structures were addressed in a sequential fashion—the coronoid process, radial head, lateral ulnar collateral ligament.Results: All patients were treated with the single pulley double-strand anchor suture technique and the coronoid process fragment was found to be in good contact with the original avulsion site using the method. The final Mayo Elbow Performance Score was excellent (> 90) in 6 patients and good (between 85 and 89) in 2 patients.Conclusions: The single pulley double-strand suture tie method using a suture anchor is a less invasive and simpler fixation method for the repair of coronoid process fractures in patients with terrible triad of the elbow injuries, and results in good outcomes. Level of evidence: Level IV; Case Series; Treatment Study

scholarly journals Surgical management of ulnar styloid fractures: comparison of fixation with anchor suture and tension band wire

2020 ◽  
Author(s):  
Alvin Chao-Yu Chen ◽  
Yi-Hsuan Lin ◽  
Chun-Jui Weng ◽  
Chun-Ying Cheng
Keyword(s):  
Treatment Outcomes ◽  
Surgical Complication ◽  
Patient Characteristics ◽  
Tension Band ◽  
Suture Fixation ◽  
Ulnar Styloid ◽  
Tension Band Wire ◽  
Group A ◽  
Group B ◽  
Anchor Suture

Abstract Background Limited reference is available regarding surgical management in symptomatic ulnar styloid fractures with small bony avulsion. The study goal is to report the surgical outcomes using anchor suture fixation with comparison to traditional tension band wire fixation.Methods We retrospectively reviewed the medical records in patients who underwent surgical repair for unilateral ulnar styloid fractures with distal radioulnar instability between 2004 and 2017. A total of 31 patients were enrolled including two kinds of fixation methods. Anchor suture fixation plus distal radioulnar joint pinning was performed in ten patients with tiny avulsion bony fragments (group A); tension band wire fixation was performed in 21 patients with big styloid fracture fragments (group B). Patient characteristics and 2-year treatment outcomes were compared between two groups based on Mayo Modified Wrist Score (MMWS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), visual analog scale (VAS) and surgical complication. Descriptive statistics were used for calculation of key variables; a p-value of < 0.05 was considered statistically significant.Results Based on Gaulke classification, there were five subtypes in group A and three subtypes in group B. Incidence of concomitant distal radius fractures was significantly higher in group B; other patient characteristics including age, sex, injury side, and time to surgery showed no significant difference. Outcome assessment regarding MMWS, QuickDASH and VAS was comparable between two groups. Bone-related complications including nonunion, DRUJ subluxation and styloid resorption were analyzed; the difference was not significant. Incidence of implant-related complications including migration and secondary removal surgery was significantly higher in group B (p = 0.021).Conclusion Surgical fixation in symptomatic ulnar styloid fractures yields comparable treatment outcomes in both fracture patterns. Implant-related complication with secondary removal surgery is more common in tension band wire group. Anchor suture fixation is a feasible option for tiny styloid avulsion fragments with limited surgical complication.

scholarly journals Terrible Triad of the Elbow—Role of the Coronoid Process: A Case Report

2005 ◽  
Vol 13 (3) ◽  
pp. 296-299 ◽  
Author(s):  
R Seijas ◽  
N Joshi ◽  
A Hernández ◽  
JM Catalán ◽  
X Flores ◽  
...  
Keyword(s):  
Case Report ◽  
Coronoid Process ◽  
Terrible Triad

Anchor suture fixation of distal pole fractures of patella: twenty seven cases and comparison to partial patellectomy

2015 ◽  
Vol 40 (1) ◽  
pp. 149-154 ◽  
Author(s):  
Assaf Kadar ◽  
Haggai Sherman ◽  
Michael Drexler ◽  
Eldad Katz ◽  
Ely L. Steinberg
Keyword(s):  
Suture Fixation ◽  
Distal Pole ◽  
Partial Patellectomy ◽  
Anchor Suture

scholarly journals Surgical management of ulnar styloid fractures: comparison of fixation with anchor suture and tension band wire

2020 ◽  
Author(s):  
Alvin Chao-Yu Chen ◽  
Yi-Hsuan Lin ◽  
Chun-Jui Weng ◽  
Chun-Ying Cheng
Keyword(s):  
Surgical Complication ◽  
Patient Characteristics ◽  
Tension Band ◽  
Suture Fixation ◽  
Ulnar Styloid ◽  
Tension Band Wire ◽  
Wire Fixation ◽  
Group A ◽  
Group B ◽  
Anchor Suture

Abstract Background Limited reference is available regarding surgical management in symptomatic ulnar styloid fractures with small bony avulsion. The study goal is to report the surgical outcomes using anchor suture fixation with comparison to traditional tension band wire fixation. Methods We retrospectively reviewed the medical records in patients who underwent surgical repair for unilateral ulnar styloid fractures with distal radioulnar instability between 2004 and 2017. A total of 31 patients were enrolled including two kinds of fixation methods. Anchor suture fixation plus distal radioulnar joint pinning was performed in ten patients with tiny avulsion bony fragments (group A); tension band wire fixation was performed in 21 patients with big styloid fracture fragments (group B). Patient characteristics and 2-year treatment outcomes were compared between two groups based on Mayo Modified Wrist Score (MMWS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), visual analog scale (VAS) and surgical complication. Descriptive statistics were used for calculation of key variables; a p-value of < 0.05 was considered statistically significant. Results Based on Gaulke classification, there were five subtypes in group A and three subtypes in group B. Incidence of concomitant distal radius fractures was significantly higher in group B; other patient characteristics including age, sex, injury side, and time to surgery showed no significant difference. Outcome assessment regarding MMWS, QuickDASH and VAS was comparable between two groups. Bone-related complications including nonunion, DRUJ subluxation and styloid resorption were analyzed; the difference was not significant. Incidence of implant-related complications including migration and secondary removal surgery was significantly higher in group B (p = 0.021). Conclusion Surgical fixation in symptomatic ulnar styloid fractures yields comparable treatment outcomes in both fracture patterns. Implant-related complication with secondary removal surgery is more common in tension band wire group. Anchor suture fixation is a feasible option for tiny styloid avulsion fragments with limited surgical complication.

scholarly journals Surgical management of ulnar styloid fractures: comparison of fixation with anchor suture and tension band wire

2020 ◽  
Author(s):  
Alvin Chao-Yu Chen ◽  
Yi-Hsuan Lin ◽  
Chun-Jui Weng ◽  
Chun-Ying Cheng
Keyword(s):  
Treatment Outcomes ◽  
Surgical Complication ◽  
Patient Characteristics ◽  
Tension Band ◽  
Suture Fixation ◽  
Ulnar Styloid ◽  
Tension Band Wire ◽  
Group A ◽  
Group B ◽  
Anchor Suture

Abstract Background: Limited reference is available regarding surgical management in symptomatic ulnar styloid fractures with small bony avulsion. The study goal is to report the surgical outcomes using anchor suture fixation with comparison to traditional tension band wire fixation.Methods: We retrospectively reviewed the medical records in patients who underwent surgical repair for unilateral ulnar styloid fractures with distal radioulnar instability between 2004 and 2017. A total of 31 patients were enrolled including two kinds of fixation methods. Anchor suture fixation plus distal radioulnar joint pinning was performed in ten patients with tiny avulsion bony fragments (group A); tension band wire fixation was performed in 21 patients with big styloid fracture fragments (group B). Patient characteristics and 2-year treatment outcomes were compared between two groups based on Mayo Modified Wrist Score (MMWS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), visual analog scale (VAS) and surgical complication. Descriptive statistics were used for calculation of key variables; a p-value of < 0.05 was considered statistically significant. Results: Based on Gaulke classification, there were five subtypes in group A and three subtypes in group B. Incidence of concomitant distal radius fractures was significantly higher in group B; other patient characteristics including age, sex, injury side, and time to surgery showed no significant difference. Outcome assessment regarding MMWS, QuickDASH and VAS was comparable between two groups. Bone-related complications including nonunion, DRUJ subluxation and styloid resorption were analyzed; the difference was not significant. Incidence of implant-related complications including migration and secondary removal surgery was significantly higher in group B (p = 0.021). Conclusion: Surgical fixation in symptomatic ulnar styloid fractures yields comparable treatment outcomes in both fracture patterns. Implant-related complication with secondary removal surgery is more common in tension band wire group. Anchor suture fixation is a feasible option for tiny styloid avulsion fragments with limited surgical complication.

scholarly journals Anterior capsule re-attachment in terrible triad elbow injury with coronoid tip fracture

2019 ◽  
Vol 105 (8) ◽  
pp. 1575-1583 ◽  
Author(s):  
Maxime Antoni ◽  
David Eichler ◽  
Jean-François Kempf ◽  
Philippe Clavert
Keyword(s):  
Terrible Triad ◽  
Anterior Capsule ◽  
Elbow Injury
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