McKee Robbin C, McKee Michael D
Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Instr Course Lect. 2012;61:227-33.
Complex fractures of the proximal ulna with associated elbow instability represent challenging disorders with a high incidence of complications, including malunion, arthrosis, stiffness, and recurrent instability. If a significant coronoid fragment is present, there is an increased risk of a poor outcome. Proper management of this coronoid fragment can be critical to a successful outcome. Information on identifying, reducing, and fixing the coronoid fragment in complex proximal ulnar fractures will help the treating orthopaedic surgeon maximize results with this difficult injury pattern.
尺骨近端复杂骨折合并肘关节不稳定是具有挑战性的疾病，并发症发生率高，包括骨不连、关节炎、僵硬和复发性不稳定。如果存在较大的冠状突骨折块，预后不良的风险会增加。正确处理该冠状突骨折块对取得成功的治疗结果至关重要。关于在复杂的尺骨近端骨折中识别、复位和固定冠状突骨折块的信息，将有助于骨科治疗医生在处理这种困难的损伤类型时最大限度地提高治疗效果。
