Related Experiment Videos
[Fracture dislocation of the elbow involving the coronoid process]
T Kälicke1, J Westhoff, C Wingenfeld
1Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil, Universitätsklinik Bochum. tkaelicke@compuserve.de
Introduction:
Elbow dislocations are associated with osseus lesions in 30-50%. Integrity of the coronoid process is essential for stability of the elbow joint.
Methods:
A retrospective study of 39 patients out of 51 was conducted to evaluate a result of surgical treatment in fracture dislocation of the elbow involving the coronoid process. The patients were followed for an average of 45 months.
Results:
Operative results were assessed using the Morrey-Score. 3 patients presented an excellent, 19 a good, 14 a moderate and 3 a non satisfactory result.
Conclusion:
Results of operative treatment of fracture dislocation of the elbow are essentially determined by the extent of associated osseus lesions of the radial head and the olecranon. To achieve acceptable functional results early reconstruction and fixation of the coronoid process as well as early mobilisation of the joint is necessary.