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[Elbow dislocation with fracture of the coronoid process and comminuted fracture of the radius head]
F Bopp1, F W Tielemann, U Holz
1Abteilung für Unfall- und Wiederherstellungschirurgie, Katharinenhospital Stuttgart.
Abstract:
In fractures of the elbow with an associated fracture of the coronoid process, the size of the coronoid fragment determines the stability of the joint. A diminution of the arch of the incisura semilunaris by about 30 degrees causes instability of the elbow. We present an alternative way of treating the special case of a fracture of the coronoid process combined with comminuted fracture of the proximal end of the radius. A suitable fragment of the head of the radius is used to reconstruct the coronoid process. The stability achieved allows early functional postoperative treatment with a good range of movement at the elbow joint.
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