Combined Anterior and Posterior Surgical Approach for Ulnar Olecranon and Coronoid Fracture

Abstract：Objective To explore the clinical efficacy of combined surgical approach of anterior and posterior for treat-ment of olecranon and coronoid fracture.Methods From May 2012 to August 2014,32 patients with ulnar olecranon and coro-noid fracture were treated in our department. There were 21 males and 11 females with an average age of 37. 7 years old(26 to 57 ). All the patients were treated through combined surgical approach of anterior and posterior,using micro plate and anatomi-cal plate to fix ulnar coronoid and olecranon fracture. Reduction reduction loss,fracture healing time and complications were documented. The elbow function was evaluated at the last follow-up by Mayo elbow performance score( MEPS). Results Twenty-eight patients were followed up for 8 to 25 months(average,18months),and 4 patients were lost.All the 28 patients obtained bony union after 6 to 18 weeks(average,12. 8 weeks). At the last follow-up,elbow flexion ranged from 113°to 128° (average,125°),elbow extension from 0° to 30°(average,6°),forearm pronation from 54°to 82°(average,75°),and supina-tion from 69°to 94°(average,81°). According to MEPS,20 patients were excellent,4 good,2 fair,and 2 poor. The excellent to good rate was 85.7%.None of the patients had deep wound infection.Two patients had elbow stiffness.Conclusion Com-bined surgical approach of anterior and posterior for treatment of olecranon and coronoid fracture can reduce effectively,fix firmly and enable function exercise of the elbow early.