All-Suture Anchor Fixation for Coronoid Process Fractures via a Transolecranon Fracture Approach
Yuxuan Wu1, Yang Lu2, Jianlan Wang3
1Department of Orthopedics, Central Hospital of Dalian University of Technology, Dalian, Liaoning, China.
Case Reports in Orthopedics
|July 22, 2026
Summary
The all-suture anchor technique offers a novel approach for stabilizing complex coronoid process fractures, providing enhanced mechanical support and promoting full elbow function restoration post-surgery.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Coronoid process fractures are common elbow injuries.
- Surgical management of these fractures presents challenges.
- All-suture anchor fixation is an emerging technique for stabilization.
Purpose of the Study:
- To evaluate the technical feasibility of all-suture anchor fixation for coronoid process fractures.
- To assess the efficacy of this technique in complex proximal ulnar fractures.
Main Methods:
- A case presentation of a 35-year-old male with a complex proximal ulnar fracture (O'Driscoll Type III).
- Surgical fixation using an all-suture anchor at the fracture site, tied to a fixation plate for tension-band configuration.
- Dual-directional fixation providing bidirectional mechanical support.
Main Results:
- The all-suture anchor technique provided stable three-dimensional support and controlled traction.
- Postoperative recovery was uneventful with full restoration of elbow function.
- No evidence of fragment displacement or complications was observed.
Conclusions:
- The all-suture anchor technique is technically feasible for coronoid fractures.
- This method allows simultaneous fixation of coronoid and olecranon fractures via a single posterior approach.
- The technique reduces soft tissue disruption in complex proximal ulnar fractures.
