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Comparison of arthroscopy-assisted vs. open reduction and fixation of coronoid fractures of the ulna

Authors
 Won-Taek Oh  ;  Woo-Sung Do  ;  Jin-Chul Oh  ;  Il-Hyun Koh  ;  Ho-Jung Kang  ;  Yun-Rak Choi 
Citation
 JOURNAL OF SHOULDER AND ELBOW SURGERY, Vol.30(3) : 469-478, 2021-03 
Journal Title
 JOURNAL OF SHOULDER AND ELBOW SURGERY 
ISSN
 1058-2746 
Issue Date
2021-03
Keywords
Ulnar coronoid process ; arthroscopic surgery ; fracture fixation
Abstract
Purpose: The purpose of this study was to compare clinical and radiographic outcomes and complications for arthroscopy-assisted vs. open reduction and fixation of coronoid fractures in patients with complex elbow fracture-dislocations. Methods: This retrospective study analyzed patients with complex elbow fracture-dislocations who underwent surgical fixation for coronoid fractures of the ulna from March 2009 to January 2016. Subjects included those who received either arthroscopy-assisted (group A) or open surgery (group O) for coronoid fractures and concurrent reconstruction of the lateral column (radial head and/or lateral ulnar collateral ligament) with follow-up for at least 2 years. Clinical outcomes were assessed using the visual analog scale for pain, range of motion, Mayo Elbow Performance Score, and Disabilities of the Arm, Shoulder, and Hand score at 2 years after surgery. For radiographic assessment, union of the coronoid, development of heterotopic ossification, and arthritic changes were evaluated. We also reviewed surgery-related complications. Results: Twenty-five patients (mean age, 40.0 ± 12.4 years) were enrolled in this study (group A, 15 patients; group O, 10 patients), and there were no statistical differences in baseline data between the 2 groups. Clinical outcomes did not differ between the 2 groups. All fractures were united and that the prevalence of heterotopic ossification and arthritic changes were similar between the 2 groups. However, operation-related complications were more common in group O than in group A (group A, 13.3%; group O, 40.0%), including 1 patient who underwent ulnar nerve neurolysis and anterior transposition at 3 months after the initial operation. Conclusions: Eliciting fewer complications, arthroscopy-assisted reduction and fixation of coronoid fractures shows union rates and clinical results comparable to open fixation in patients with complex elbow fracture-dislocation.
Full Text
https://www.sciencedirect.com/science/article/pii/S1058274620306145
DOI
10.1016/j.jse.2020.06.037
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Do, Woo Sung(도우성)
Oh, Won Taek(오원택) ORCID logo https://orcid.org/0000-0003-1815-0851
Oh, Jin-Cheol(오진철)
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182195
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