Abstract：
OBJECTIVES:We evaluated the results of surgical treatment for elbow dislocations accompanied by Regan-Morrey type 2-3 coronoid fractures. METHODS:Eight patients (6 males, 2 females; mean age 44 years; range 23 to 76 years) underwent surgical treatment for elbow dislocations accompanied by a coronoid fracture. Three patients had Regan-Morrey type 2, five patients had type 3 coronoid fractures. Accompanying injuries were Mason-Johnston type 4 radial head fractures (n=6), olecranon fractures (n=4), lateral humeral condyle fracture (n=1), and lateral (n=5) or medial (n=2) collateral ligament ruptures. Coronoid fractures were fixed with a plate, screw, or a cerclage wire in all the patients except for one patient who underwent coronoid excision. For radial head fractures, plate or screw and K-wire fixation was performed in two patients and radial head prosthesis was used in four patients. Olecranon fractures were fixed with a plate or AO tension band. Functional results were assessed using the Mayo elbow performance score. The mean follow-up period was 22.6 months (range 1 to 65.5 months). RESULTS:Union was achieved in all the patients. At the latest assessments, the mean Mayo elbow performance score was 84.3 (range 50 to 100). All the patients expressed satisfaction with surgical treatment except for one patient who underwent coronoid excision. All the fixation materials used for olecranon fractures were removed after union due to implant-associated pain. Ulnar nerve transposition was required in two patients with fractures involving the anteromedial facet of the coronoid process. Two patients developed heterotopic ossification that did not affect the range of motion of the elbow. CONCLUSION:Surgical treatment of elbow dislocations associated with Regan-Morrey type 2-3 coronoid fractures enables a concentric reduction of the elbow, stability, and early motion.
journal_name
Acta Orthop Traumatol Turcjournal_title
Acta orthopaedica et traumatologica turcicaauthors
Aksu N,Korkmaz MF,Göğüş A,Kara AN,Işiklar ZUdoi
10.3944/aott.2008.258subject
Has Abstractpub_date
2008-08-01 00:00:00pages
258-64issue
4eissn
1017-995Xissn
2589-1294journal_volume
42pub_type
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journal_title：Acta orthopaedica et traumatologica turcica
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journal_title：Acta orthopaedica et traumatologica turcica
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abstract：:A 45-year-old male patient presented with paralysis of slow onset in the right forearm and hand muscles. Electromyographic assessment revealed severe denervation in the muscles innerved by the posterior interosseous nerve. Magnetic resonance imaging demonstrated a tumoral mass compressing the nerve. The patient underw...
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abstract：:The coexistence of fractures of the capitellum and the radial head in the elbow joint is a rare entity. A 36-year-old man presented with complaints of pain, swelling, and limited range of motion in the right elbow after a fall. Radiography, computed tomography, and three-dimensional reconstruction of computed tomograp...
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更新日期：2007-01-01 00:00:00
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doi：10.3944/AOTT.2009.007
更新日期：2009-01-01 00:00:00
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更新日期：2012-01-01 00:00:00
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更新日期：2016-12-01 00:00:00
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pub_type： 杂志文章
doi：10.3944/aott.2013.2801
更新日期：2013-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.aott.2016.03.009
更新日期：2016-12-01 00:00:00
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pub_type： 杂志文章
doi：10.3944/AOTT.2009.185
更新日期：2009-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2010-01-01 00:00:00
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doi：
更新日期：2002-01-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2017-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2004-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章
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更新日期：2003-01-01 00:00:00
abstract：OBJECTIVES:We evaluated the use of expandable intramedullary nails, their efficacy, and short-term results in the treatment of tibia shaft fractures. METHODS:The study included 19 patients (8 females, 11 males; mean age 38 years; range 17 to 65 years) who were treated with expandable intramedullary nails (Fixion) for ...
journal_title：Acta orthopaedica et traumatologica turcica
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doi：
更新日期：2005-01-01 00:00:00
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journal_title：Acta orthopaedica et traumatologica turcica
pub_type： 杂志文章,评审
doi：
更新日期：2007-01-01 00:00:00
