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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Related Experiment Video

Updated: Jun 9, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

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

S Rochet¹, L Obert, D Lepage

¹Orthopaedics, 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 Center, Franche Comté University, Besançon, France. s.rochet@yahoo.fr

Orthopaedics & Traumatology, Surgery & Research : OTSR

|August 31, 2010

Summary

This summary is machine-generated.

The double-plate technique for comminuted proximal ulna fractures offers reliable bone union and good functional outcomes. This method provides stable fixation for complex elbow joint injuries, reducing complications.

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Area of Science:

Orthopedic Surgery
Traumatology
Skeletal Reconstruction

Background:

Comminuted proximal ulna fractures are severe injuries often linked to elbow joint instability.
Associated injuries (e.g., Monteggia lesions, radial head fractures) complicate treatment and affect functional results.
Current treatment challenges necessitate evaluation of advanced fixation techniques.

Purpose of the Study:

To assess the feasibility and reliability of the double-plate technique for treating comminuted proximal ulna fractures.
To compare the outcomes of double-plate fixation with single-plate fixation in terms of bone union, function, and complications.
To evaluate the efficacy of this fixation method in complex elbow trauma cases.

Main Methods:

Retrospective study of 18 patients with comminuted proximal ulna fractures treated between 2002 and 2006.
Fixation using two third-cylinder tubular plates, one on each side of the proximal ulna.
Functional (Broberg and Morrey score) and radiological assessments at 6 months and longest follow-up.

Main Results:

Sixteen of 18 patients achieved bone union, with no septic complications or hardware removal requests.
Excellent or good functional results (Morrey score) were observed in 67% of cases, with a mean score of 82.
The double-plate technique allowed for versatile screw insertion, aiding in epiphyseal reconstruction.

Conclusions:

The double-plate technique provides a stable and anatomically accurate fixation for complex proximal ulna fractures.
This method is technically feasible and reliable, offering advantages for epiphyseal reconstruction.
It presents a viable solution for challenging elbow joint injuries with associated fractures.