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Reconstruction of the coronoid process with iliac crest bone graft in complex fracture-dislocation of elbow

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

A 36-year-old man sustained posterior dislocation of left elbow joint with olecranon fracture, comminuted coronoid fracture and subluxation of proximal radioulnar joint. We reconstructed the coronoid process with autogenous iliac crest bone graft and reduced the olecranon fracture with internal fixation. In addition, we also repaired the medial collateral ligament, annular ligament and anterior capsule during the operation. He received immobilization of the left elbow for 3 weeks after surgery and started range of motion exercises. The radiographic bone union was found 2 months after operation. The range of motion of the elbow was full at 12 months after operation. The latest 2-year follow-up, the functional result of the elbow was excellent.

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References

  1. Closkey RF, Goode JR, Kirschenbaum D, Cody RP (2000) The role of the coronoid process in elbow stability. J Bone Joint Surg [Am] 82:1749–1753

    Google Scholar 

  2. CobbTK BF Morrey (1995) Use of distraction arthroplasty in unstable fracture dislocations of the elbow. Clin Orthop 312:201–210

    Google Scholar 

  3. DePalma A.F (1970) The management of fractures and dislocations. Saunders, Philadelphia, pp 1546–1570

    Google Scholar 

  4. Esser RD (1997) Reconstruction of the coronoid process with a radial head fragment. Orthopedics 20:169–171

    PubMed  CAS  Google Scholar 

  5. Josefsson PO, Gentz CF, Johnell O, Wendeberg B (1989) Dislocations of the elbow and intra-articular fractures. Clin Orthop Relat Res 246:126–130

    PubMed  Google Scholar 

  6. Kohls-Gatzoulis J, Tsiridis E, Schizas C (2004) Reconstruction of the coronoid process with iliac crest bone graft. J Shoulder Elbow Surg 13:217–220

    Article  PubMed  CAS  Google Scholar 

  7. McKee MD, Bowden SH, King GJ, Patterson SD, Jupiter JB, Bamberger HB, Paksima N (1998) Management of recurrent, complex instability of the elbow with a hinged external fixator. J Bone Joint Surg [Br] 80:1031–1036

    Article  CAS  Google Scholar 

  8. McKee MD, Pugh DM, Wild LM, Schemitsch EH, King GJ (2005) Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg [Am] 87:22–32

    Article  Google Scholar 

  9. Mehlhoff TL, Noble PC, Bennett JB, Tullous HS (1988) Simple dislocation of the elbow in the adult. Results after closed treatment. J Bone Joint Surg [Am] 70:244–249

    CAS  Google Scholar 

  10. Milch H (1936) Bilateral recurrent dislocation of the ulna at elbow. J Bone Joint Surg 18:777–780

    Google Scholar 

  11. Moritomo H, Tada K, Yoshida T. Kawatsu N (1998) Reconstruction of the coronoid for chronic dislocation of the elbow. Use of a graft from the olecranon in two cases. J Bone Joint Surg [Br] 80:490–492

    Article  CAS  Google Scholar 

  12. Morrey BF (1993) The elbow and Its disorders, 2nd edn. Saunders, Philadelphia, pp 418–419

    Google Scholar 

  13. Morrey BF, An KN (1983) Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11:315–319

    PubMed  CAS  Google Scholar 

  14. Regan W, Morrey BF (1989) Fractures of the coronoid process of the ulna. J Bone Joint Surg [Am] 71:1348–1354

    CAS  Google Scholar 

  15. Ring D, Hannouche D, Jupiter JB (2004) Surgical treatment of persistent dislocation or subluxation of the ulnohumeral joint after fracture-dislocation of the elbow. J Hand Surg [Am] 29:470–480

    Article  Google Scholar 

  16. Ring D, Jupiter JB (2000) Operative fixation and reconstruction of the coronoid. Tech Orthop 15:147–154

    Google Scholar 

  17. Ring D, Jupiter JB (2000) Reconstruction of post-traumatic elbow instability. Clin Orthop Relat Res 370:44–56

    Article  PubMed  Google Scholar 

  18. Ring D, Jupiter JB (2002) Surgical exposure of coronoid fractures. Tech Shoulder Elbow Surg 3:48–56

    Article  Google Scholar 

  19. Ring D, Jupiter JB, Sanders RW, Mast J, Simpson NS (1997) Transolecranon fracture-dislocation of the elbow. J Orthop Trauma 11:545–550

    Article  PubMed  CAS  Google Scholar 

  20. Ring D, Jupiter JB, Simpson NS (1998) Monteggia fractures in adults. J Bone Joint Surg [Am] 80:1733–1744

    CAS  Google Scholar 

  21. Sanchez-Sotelo J, O’Driscoll SW, Morrey BF (2005) Medial oblique compression fracture of the coronoid process of the ulna. J Shoulder Elbow Surg 14:60–64

    Article  PubMed  Google Scholar 

  22. Tandon H, Arora SS (2000) Fractured coronoid process and fractured olecranon with subluxation of the elbow in an adult. J Trauma 48:960–963

    Article  PubMed  CAS  Google Scholar 

  23. Terada N, Yamada H, Seki T, Urabe T, Takayama S (2000) The importance of reducing small fractures of the coronoid process in the treatment of unstable elbow dislocation. J Shoulder Elbow Surg 9:344–346

    Article  PubMed  CAS  Google Scholar 

  24. van Riet RP, Morrey BF, O’Driscoll SW (2005) Use of osteochondral bone graft in coronoid fractures. J Shoulder Elbow Surg 14:519–523

    Article  PubMed  Google Scholar 

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Correspondence to Shyu-Jye Wang.

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Chung, CH., Wang, SJ., Chang, YC. et al. Reconstruction of the coronoid process with iliac crest bone graft in complex fracture-dislocation of elbow . Arch Orthop Trauma Surg 127, 33–37 (2007). https://doi.org/10.1007/s00402-006-0198-2

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  • DOI: https://doi.org/10.1007/s00402-006-0198-2

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