Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique
Objective The fixation of the coronoid fractures in terrible triad injuries is quite challenging. In this study, we introduce a minimally invasive technique using a syringe as a guide for insertion of the cannulated screw in an anterior to posterior fashion to fix the coronoid fracture in patients w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13463 |
| _version_ | 1811181674790125568 |
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| author | Tokai B. Cooper Xiaobin Luo Yiheng Chen Xinglong Chen Hede Yan Feiya Zhou |
| author_facet | Tokai B. Cooper Xiaobin Luo Yiheng Chen Xinglong Chen Hede Yan Feiya Zhou |
| author_sort | Tokai B. Cooper |
| collection | DOAJ |
| description | Objective The fixation of the coronoid fractures in terrible triad injuries is quite challenging. In this study, we introduce a minimally invasive technique using a syringe as a guide for insertion of the cannulated screw in an anterior to posterior fashion to fix the coronoid fracture in patients with terrible triad injuries. Methods In this retrospective study, clinical data of patients suffering from terrible triad injuries between 2012 and 2019 were analyzed. Fifteen patients with an average age of 38.2 years old (21–56 years) were enrolled in this study, of which 12 were males and three were females. The Regan–Morrey type II and type III coronoid fractures in these patients were treated with cannulated screws, inserted anteriorly using a 1 mL syringe as a guide. Outcome measures included pain, range of motion, stability and daily function using Mayo Elbow Performance scores (MEPs). The anteroposterior and lateral radiographs were used for evaluating a healing fracture. Results After a mean follow up of 44.2 months (range 13–80), the mean elbow flexion was 128.2°, extension was 12.3°, forearm pronation was 74.6° and supination was 73.6°. A concentric reduction was maintained without severe pain, stiffness, and radiographic evidence of instability in all patients during the follow‐up period. The mean MEPs was 89.7 points. Conclusion The anteroposterior cannulated screw fixation via simple syringe guide is a minimally invasive and safe option for surgical treatment of coronoid fractures in terrible triad injuries. |
| first_indexed | 2024-04-11T09:20:32Z |
| format | Article |
| id | doaj.art-832900a6e55b49dda3f07dbff1a55f4c |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-11T09:20:32Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-832900a6e55b49dda3f07dbff1a55f4c2022-12-22T04:32:12ZengWileyOrthopaedic Surgery1757-78531757-78612022-10-0114102591259710.1111/os.13463Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided TechniqueTokai B. Cooper0Xiaobin Luo1Yiheng Chen2Xinglong Chen3Hede Yan4Feiya Zhou5Department of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University Wenzhou ChinaDepartment of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University Wenzhou ChinaDepartment of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University Wenzhou ChinaDepartment of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University Wenzhou ChinaDepartment of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University Wenzhou ChinaDepartment of Orthopedics (Division of Plastic and Hand Surgery) The Second Affiliated Hospital and YuYing Children's Hospital of Wenzhou Medical University Wenzhou ChinaObjective The fixation of the coronoid fractures in terrible triad injuries is quite challenging. In this study, we introduce a minimally invasive technique using a syringe as a guide for insertion of the cannulated screw in an anterior to posterior fashion to fix the coronoid fracture in patients with terrible triad injuries. Methods In this retrospective study, clinical data of patients suffering from terrible triad injuries between 2012 and 2019 were analyzed. Fifteen patients with an average age of 38.2 years old (21–56 years) were enrolled in this study, of which 12 were males and three were females. The Regan–Morrey type II and type III coronoid fractures in these patients were treated with cannulated screws, inserted anteriorly using a 1 mL syringe as a guide. Outcome measures included pain, range of motion, stability and daily function using Mayo Elbow Performance scores (MEPs). The anteroposterior and lateral radiographs were used for evaluating a healing fracture. Results After a mean follow up of 44.2 months (range 13–80), the mean elbow flexion was 128.2°, extension was 12.3°, forearm pronation was 74.6° and supination was 73.6°. A concentric reduction was maintained without severe pain, stiffness, and radiographic evidence of instability in all patients during the follow‐up period. The mean MEPs was 89.7 points. Conclusion The anteroposterior cannulated screw fixation via simple syringe guide is a minimally invasive and safe option for surgical treatment of coronoid fractures in terrible triad injuries.https://doi.org/10.1111/os.13463Cannulated screwsCoronoid fractureElbow dislocationFixation deviceRadial head fractureTerrible triad injury |
| spellingShingle | Tokai B. Cooper Xiaobin Luo Yiheng Chen Xinglong Chen Hede Yan Feiya Zhou Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique Orthopaedic Surgery Cannulated screws Coronoid fracture Elbow dislocation Fixation device Radial head fracture Terrible triad injury |
| title | Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique |
| title_full | Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique |
| title_fullStr | Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique |
| title_full_unstemmed | Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique |
| title_short | Anteroposterior Cannulated Screw Fixation of Coronoid Fractures in Terrible Triad Injuries: A Simple Syringe‐guided Technique |
| title_sort | anteroposterior cannulated screw fixation of coronoid fractures in terrible triad injuries a simple syringe guided technique |
| topic | Cannulated screws Coronoid fracture Elbow dislocation Fixation device Radial head fracture Terrible triad injury |
| url | https://doi.org/10.1111/os.13463 |
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