Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Plate Fixation for Fractures of the Coronoid Process of the Ulna

금속판을 이용한 구상돌기 골절의 치료

  • Shin, Dong-Ju (Department of Orthopedic Surgery, Fatima Hospital) ;
  • Byun, Young-Soo (Department of Orthopedic Surgery, Fatima Hospital) ;
  • Cho, Young-Ho (Department of Orthopedic Surgery, Fatima Hospital) ;
  • Park, Ho-Won (Department of Orthopedic Surgery, Fatima Hospital) ;
  • Youn, Hee-Min (Department of Orthopedic Surgery, Fatima Hospital) ;
  • Han, Jae-Hui (Department of Orthopedic Surgery, Fatima Hospital)
  • 신동주 (대구파티마병원 정형외과) ;
  • 변영수 (대구파티마병원 정형외과) ;
  • 조영호 (대구파티마병원 정형외과) ;
  • 박호원 (대구파티마병원 정형외과) ;
  • 윤희민 (대구파티마병원 정형외과) ;
  • 한재휘 (대구파티마병원 정형외과)
  • Published : 2008.12.15
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Abstract

Purpose: The purpose of this study was to evaluate the results of eight cases of coronoid process fractures that were fixed with a plate. Materials and Methods: Eight coronoid process fractures were treated by plating and these cases were reviewed retrospectively. Six patients were men and two were women. The average age was 41 years (range: 22-79) at the time of injury. According to Regan's classification, there were five type 2 and three type 3. According to O'Driscoll's classification, there were five anteromedial type and three base type. Open reduction and internal fixation with a plate were performed through a medial approach by splitting of the two heads of the flexor carpi ulnaris. The patients were follow-up for a mean of 15.8 months (range: 6-25). We evaluated the clinical outcomes with using the Mayo Elbow Performance Score. Results: The average active motion of the elbow joint was $120^{\circ}$. The average Mayo Elbow Performance Score was 86.9. There were 5 excellent results, 1 good result and 2 fair results. Summary: Plating through a medial approach of the elbow provided stable fixation and satisfactory union for treating displaced coronoid process fractures with the unstable elbow.

목적: 금속판을 이용하여 치료한 8예의 구상돌기 골절의 치료 결과를 분석하여 보고하고자 한다. 대상 및 방법: 금속판을 이용하여 고정한 8예의 구상돌기 골절에 대하여 후향적 연구를 시행하였다. 남자가 6예, 여자가 2예였고, 평균 나이는 41세였다. Regan의 골절 분류에 의하면 제2형이 5예, 제3형이 3예였으며, O'Driscoll의 분류에 의하면 전내측형이 5예, 기저형이 3예였다. 전 예에서 척 수근 굴근 분리를 통한 내측 도달법을 이용하였으며, 골편 정복 후 금속판으로 골편을 지지 고정하였다. 추시 기간은 평균 15.8개월이었으며, Mayo Elbow Performance Score로 임상적 결과를 판정하였다. 결과: 능동적 주관절 가동 범위는 평균 120도였고, Mayo Elbow Performance Score는 평균 86.9점으로 5예에서 최우수, 1예에서 우수, 2예에서 양호의 결과를 보였다. 요약: 불안정한 주관절이 동반된 전위된 구상돌기 골절들을 내측 접근법을 통한 금속판 고정으로 안정된 고정과 만족스러운 골유합을 얻을 수 있었다.

Keywords

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