Department of Orthopedic Surgery, Prisma Health-Upstate, Greenville, South Carolina.
JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00396. doi: 10.2106/JBJS.CC.19.00396.
We describe 2 cases using a novel technique of intraosseous plating of the coronoid as a reduction tool and fixation construct for complex elbow fracture dislocations. Each patient sustained traumatic, complex injuries of the elbow and were radiographically healed at the final follow-up.
Elbow fracture dislocations are complex injuries because of the interplay between primary and secondary stabilizers. This technique provides access to fracture fragments with minimal to no soft-tissue disruption and does not obstruct additional reduction or fixation of the injury.
我们描述了两例使用新型经骨皮质内固定冠状突作为复位工具和固定结构治疗复杂肘关节骨折脱位的病例。两名患者均为创伤性、复杂的肘部损伤,最终随访时影像学均已愈合。
由于主要和次要稳定器的相互作用,肘关节骨折脱位是一种复杂的损伤。该技术可在最小程度破坏软组织的情况下触及骨折块,且不会妨碍对损伤的进一步复位或固定。