금속판을 이용한 구상돌기 골절의 치료 (Plate fixation for fractures of the coronoid process of the ulna)

서지정보

· 발행기관 : 대한견주관절학회
· 수록지 정보 : 대한 견주관절 학회지 / 11권 / 2호 / 177 ~ 184페이지
· 저자명 : 신동주, 조영호, 변영수, 박호원, 한재휘, 윤희민

초록

Purpose: The purpose of this study was to evaluate the results of eight cases of coronoid process fractures that were fixed with a plate.
Materials and Methods: Eight coronoid process fractures were treated by plating and these cases were reviewed retrospectively. Six patients were men and two were women. The average age was 41 years (range: 22-79) at the time of injury. According to Regan’s classification, there were five type 2 and three type 3. According to O’Driscoll’s classification, there were five anteromedial type and three base type. Open reduction and internal fixation with a plate were performed through a medial approach by splitting of the two heads of the flexor carpi ulnaris. The patients were follow-up for a mean of 15.8 months (range: 6-25). We evaluated the clinical outcomes with using the Mayo Elbow Performance Score.
Results: The average active motion of the elbow joint was 120°. The average Mayo Elbow Performance Score was 86.9. There were 5 excellent results, 1 good result and 2 fair results.
Summary: Plating through a medial approach of the elbow provided stable fixation and satisfactory union for treating displaced coronoid process fractures with the unstable elbow.

영어초록

Purpose: The purpose of this study was to evaluate the results of eight cases of coronoid process fractures that were fixed with a plate.
Materials and Methods: Eight coronoid process fractures were treated by plating and these cases were reviewed retrospectively. Six patients were men and two were women. The average age was 41 years (range: 22-79) at the time of injury. According to Regan’s classification, there were five type 2 and three type 3. According to O’Driscoll’s classification, there were five anteromedial type and three base type. Open reduction and internal fixation with a plate were performed through a medial approach by splitting of the two heads of the flexor carpi ulnaris. The patients were follow-up for a mean of 15.8 months (range: 6-25). We evaluated the clinical outcomes with using the Mayo Elbow Performance Score.
Results: The average active motion of the elbow joint was 120°. The average Mayo Elbow Performance Score was 86.9. There were 5 excellent results, 1 good result and 2 fair results.
Summary: Plating through a medial approach of the elbow provided stable fixation and satisfactory union for treating displaced coronoid process fractures with the unstable elbow.

참고자료

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