Abstract
BackgroundUlna coronoid fracture is a complicated injury and occurred in the coronal plane. Undeniably, there is no universally accepted approach for treating ulna coronoid fractures. Therefore, this study aimed at exploring the efficacy of different surgical treatments for Regan-Morrey type II and III ulna coronoid fractures.MethodsA total of 164 patients with ulna coronoid fractures were admitted and treated in department of orthopedics at Yiwu Central Hospital, the Affiliated Yiwu Hospital of Wenzhou Medical University for retrospective analysis. The baseline features (age, gender, time from injury to surgery and so on) before the surgery and different conditions during the surgery were compared. Following that, the Visual Analogue Scale (VAS) pain score was employed to evaluate the severity of preoperative and postoperative pain experienced by the patients in each group. Afterwards, Broberg and Morrey elbow score was used to evaluate elbow joint function and surgical effect of the patients. Lastly, the postoperative recovery and complications were compared.ResultsIt was firstly observed that internal fixation with mini plate and hollow screw compelled to lower average operation time and blood loss than Kirschner wire and steel wire suture. Next, the severity of postoperative pain was lessened in comparison with preoperative pain. Afterwards, mini plate and hollow screw improved elbow joint function more notable than Kirschner wire and steel wire suture, and Kirschner wire and steel wire suture resulted in higher incidence of complications and worse postoperative recovery.ConclusionCollectively, this study clarified that for the treatment of Regan-Morrey type II and III ulna coronoid fractures, internal fixation with mini plate and hollow screw has an overall superior surgical effect than internal fixation with Kirschner wire and steel wire suture.
Highlights
Ulna coronoid fracture is a complicated injury and occurred in the coronal plane
This study aims to compare the efficacy of internal fixation with mini plate, hollow screw, Kirschner wire and steel wire suture for the treatment of Regan-Morrey type II and III ulna coronoid fractures
According to the different internal fixation methods, the patients were grouped into four groups for retrospective analysis: mini plate group (31 cases), hollow screw group (44 cases), Kirschner wire group (62 cases), and steel wire suture group (27 cases)
Summary
Ulna coronoid fracture is a complicated injury and occurred in the coronal plane. Undeniably, there is no universally accepted approach for treating ulna coronoid fractures. This study aimed at exploring the efficacy of different surgical treatments for Regan-Morrey type II and III ulna coronoid fractures. A previous study supports surgical treatment of patients with elbow dislocations related to Regan-Morrey type II and III coronoid fractures for improved elbow reduction, stability, and early motion [10]. A recent study indicates that ulna coronoid fractures can be treated by internal fixation with frame shape plate and open reduction through anterior approach of the elbow, as it is an effective treatment option with minimal damage and strong fixation [12]. This study aims to compare the efficacy of internal fixation with mini plate, hollow screw, Kirschner wire and steel wire suture for the treatment of Regan-Morrey type II and III ulna coronoid fractures
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