Proximal ulna comminuted fractures: Fixation using a double-plating technique.

Summary of "Proximal ulna comminuted fractures: Fixation using a double-plating technique."

Comminuted fractures of the proximal ulna are severe injuries often associated with bone and ligament injuries of the elbow joint (Monteggia lesion, radial head fractures, dislocation of the elbow). The treatment of these fractures is very demanding and the functional results often fairly mediocre due to associated injuries. Based on a single-center retrospective study, we report the results of the treatment of these fractures fixed using a double-plate technique. The aim was to evaluate the feasibility and reliability of this fixation mode and to compare it with other fractures series using a single plate fixation (in terms of bone union, elbow joint function, and complications stemming from the plates). PATIENTS AND
Eighteen patients sustained a comminuted proximal ulna fracture between 2002 and 2006. The fractures were associated in five cases with a Monteggia type lesion, in two cases with elbow dislocation, and in four cases with a Mason 3 radial head fracture. Four patients had an open fracture. These comminuted ulna fractures included nine Mayo Clinic IIIB fractures. Bone fixation was performed with two third-cylinder tubular plates, one plate on each side of the proximal ulna. This allows more versatile solutions for screw insertion. Functional assessment (according to Broberg and Morrey) and radiological evaluation (bone healing) were provided at 6 months and at the longest follow-up by an independent surgeon.
Sixteen of 18 patients achieved bone union. No septic complications occurred and no hardware removal was required on patient request. In 67% of the cases, the Morrey score indicated excellent or good results with a mean score of 82.
There are no reports in the literature on the technical point of fixation concerning complex fractures of the ulna. Two plates mean the possibility of twice the number of screw insertions for epiphyseal reconstruction . This fixation remains easy to perform and provides stable anatomic reconstruction of the ulna. LEVEL OF
Level IV. Retrospective study.


Orthopaedics, Traumatology, plastic and reconstructive surgery and Hand salvage Department, EA 4268 Innovation, Imaging, Engineering and Healthcare policy Division, IFR 133 Inserm, Innovation and Surgical Technique sub-unit, Jean Minjoz Teaching hospital

Journal Details

This article was published in the following journal.

Name: Orthopaedics & traumatology, surgery & research : OTSR
ISSN: 1877-0568


DeepDyve research library

PubMed Articles [4950 Associated PubMed Articles listed on BioPortfolio]

Plantar Plating for the Treatment of Proximal Fifth Metatarsal Fractures in Elite Athletes.

Proximal fifth metatarsal fractures, zones II and III, are commonly treated surgically, especially in elite athletes. Intramedullary screw fixation remains the most used construct despite nonunion and...

Double plating as treatment for supracondylar humeral fractures.

Supracondylar humeral fractures represent only about 0.5-1% of all fractures in adults. The objective of this study is to evaluate functional outcome and quality of life in patients treated with open ...

The results of tension band rotator cuff suture fixation of locked plating of displaced proximal humerus fractures.

The purpose of this study was to assess 1-year outcomes of patients with displaced proximal humerus fractures who underwent treatment with locked plate fixation with rotator cuff suture augmentation.

Outcomes of proximal humeral fracture fixation with locked CFR-PEEK plating.

To investigate the outcomes of proximal humeral fracture (PHF) fixation with a novel carbon-fiber-reinforced (CFR)-PEEK plate and to compare results with outcomes after conventional locked titanium pl...

Double plating of intra-articular multifragmentary C3-type distal femoral fractures through the anterior approach.

In this prospective case series, we report a mean of 12-month follow-up of the utilization of a dual plating of distal femoral fractures. Our technique included a lateral distal femoral locked plate w...

Clinical Trials [2351 Associated Clinical Trials listed on BioPortfolio]

Volar Plating or External Fixation of Dorsally Displaced Fractures of the Distal Radius?

Promising results have been reported after volar locked plating of unstable dorsally displaced fractures of the distal radius. It offers stable fixation and early mobilization. The investi...

A Multicenter Randomized Trial Comparing Antiglide and Lateral Plate Fixation in Ankle Fractures

The role of operative fixation of unstable, displaced lateral malleolus fractures is well-established (Mayer, Mak, and Yablon). However, the optimal type of fixation remains the subject of...

Displaced Proximal Humeral Fractures: Delta Prothesis or Philos Plate?

To investigate the assumption that reversed shoulder prosthetic replacement will give a better functional outcome compared to open reduction and internal fixation with an angular stable pl...

Early Motion After Volar Fixation for Distal Radius Fractures

Many surgeons pursue volar plating of the distal radius to allow earlier post-operative wrist motion. Early motion is generally prescribed in the belief that it will result in greater fin...

Minimally Invasive of Proximal Humerus Fractures With Internal Fixation Improves Shoulder Function in Older Patients

This study protocol represents an attempt to objectively choose appropriate methods for internal fixation of proximal humerus fractures in older patients by comparing locking compression p...

Medical and Biotech [MESH] Definitions

Fractures of the larger bone of the forearm.

A fracture in which the bone is splintered or crushed. (Dorland, 27th ed)

Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.

Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.

Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.

Quick Search

DeepDyve research library

Relevant Topics

Osteoporosis is a disease in which the bones become extremely porous, are subject to fracture, and heal slowly, occurring especially in women following menopause and often leading to curvature of the spine from vertebral collapse. Follow and track&n...

Arthritis Fibromyalgia Gout Lupus Rheumatic Rheumatology is the medical specialty concerned with the diagnosis and management of disease involving joints, tendons, muscles, ligaments and associated structures (Oxford Medical Diction...

Searches Linking to this Article