Minimally invasive treatment of ulnar coronary fractures via anteromedial approach
LI Da-ming
XU Li-jun
WANG Qin-zhi
DUAN Jun
CHEN You-nian
Abstract：Objective To explore the clinical outcomes of internal fixation of the ulnar coronary fractures via anteromedial approach .Methods Seventeen cases of ulnar coronary fractures were surgically treated via an-temmedial approach from Sept .2011 to Oct.2016.According to Regan-Morrey classification, 10 cases of type Ⅱfractures used cable anchors with appropriate length to fix the coronoid process , and then used the self-repair line of the anchor to repair articular capsule and collateral ligament .7 cases of type Ⅲfracture used 1-2 Herbert screws to fix the coronal process ,and then repaired the joint capsule and accessory ligament structure .After postoperative fol-low-up,the patients'elbow function was observed and the scores were summarized and analyzed .Results The op-eration lasted for 25-40min,with an average of 36.7 min.All cases were followed-up for 6 to 14months(average, 10.3months).According to Broberg-Morrey score,the excellent and good rate was 93.4％.Conclusion The sur-gery of the ulnar coronary fractures via anteromedial approach is safe and reliable and easy to be exposed ,which se-lects the cable anchor or Herbert screw based on the bone block size ,and has advantages of short operation time ,less trauma and satisfactory clinical effect .
Keywords：ulnar coronary fracturessurgical approachminimally invasive
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 27-29 )