Wu Yuxuan, Wang Jianlan, Lian Xiaodong, Mu Jiang, Lu Ming, Zhang Shuang
Department of Orthopedics, Dalian Municipal Central Hospital Affiliated of Dalian University of Technology, Dalian, Liaoning 116024, China.
Department of Traditional Chinese Medicine, Dalian Municipal Central Hospital Affiliated of Dalian University of Technology, Dalian, Liaoning 116024, China.
J Surg Case Rep. 2024 Sep 5;2024(9):rjae571. doi: 10.1093/jscr/rjae571. eCollection 2024 Sep.
Complex elbow fractures featuring a comminuted coronoid process are infrequent and pose considerable treatment challenges. The optimal strategy for maximizing recovery of elbow function through osteosynthesis remains a subject of ongoing debate among surgeons. We applied the principle of internal fixation by implementing intra-osteal fixation with a mini plate, which facilitated the successful restoration of exceptional elbow function in the patient. This approach adeptly managed the complexity of the coronoid process fracture, encompassing its fragmentation and associated injuries, thereby demonstrating its feasibility and efficacy in achieving favorable clinical outcomes. This article investigates the viability of this surgical technique for managing such complex fractures.
伴有粉碎性冠突的复杂肘关节骨折并不常见，且带来了相当大的治疗挑战。通过骨合成实现肘关节功能最大化恢复的最佳策略仍是外科医生们持续争论的话题。我们应用了内固定原则，采用微型钢板进行骨内固定，成功帮助患者恢复了出色的肘关节功能。这种方法巧妙地处理了冠突骨折的复杂性，包括其碎裂和相关损伤，从而证明了其在实现良好临床结果方面的可行性和有效性。本文探讨了这种手术技术用于治疗此类复杂骨折的可行性。
