Version 1
: Received: 3 July 2024 / Approved: 4 July 2024 / Online: 4 July 2024 (08:30:56 CEST)
How to cite:
Lin, C.-C.; Cheng, M.-F.; Wang, C.-S.; Chiang, C.-C.; Su, Y.-P. Usability of Minimal Invasive Surgery for Elbow Dislocation with Coronoid Process Fracture: A Protocol Development Study. Preprints2024, 2024070410. https://doi.org/10.20944/preprints202407.0410.v1
Lin, C.-C.; Cheng, M.-F.; Wang, C.-S.; Chiang, C.-C.; Su, Y.-P. Usability of Minimal Invasive Surgery for Elbow Dislocation with Coronoid Process Fracture: A Protocol Development Study. Preprints 2024, 2024070410. https://doi.org/10.20944/preprints202407.0410.v1
Lin, C.-C.; Cheng, M.-F.; Wang, C.-S.; Chiang, C.-C.; Su, Y.-P. Usability of Minimal Invasive Surgery for Elbow Dislocation with Coronoid Process Fracture: A Protocol Development Study. Preprints2024, 2024070410. https://doi.org/10.20944/preprints202407.0410.v1
APA Style
Lin, C. C., Cheng, M. F., Wang, C. S., Chiang, C. C., & Su, Y. P. (2024). Usability of Minimal Invasive Surgery for Elbow Dislocation with Coronoid Process Fracture: A Protocol Development Study. Preprints. https://doi.org/10.20944/preprints202407.0410.v1
Chicago/Turabian Style
Lin, C., Chao-Ching Chiang and Yu-Ping Su. 2024 "Usability of Minimal Invasive Surgery for Elbow Dislocation with Coronoid Process Fracture: A Protocol Development Study" Preprints. https://doi.org/10.20944/preprints202407.0410.v1
Abstract
Introduction: Treating elbow fracture-dislocation is a challenge, especially in the situation of basal-coronoid trans-ulnar fracture. The study ams to explain whether or not the minimal invasive surgery (MIS) would be feasible in elbow dislocation with coronoid fracture. Materials & Methods: At Taipei Veterans General Hospital, patients who had elbow dislocations with coronoid process fractures underwent single one surgeon’s MIS techniques which included the fluoroscopy-guided ulnar anteromedial (FGUAM) approach in the stage of reducing coronoid process. When there is a proximal ulnar fracture, the posterior incision should be necessary, followed by the incision over the lateral or medial elbow in treating radial fractures or ligament injuries. Results: The Flow Diagram about approach recommendation was established in base of defining MIS as not to do cross-plane dissection. Anteriorly rigid fixation for the coronoid process was also emphasized. Conclusions: MIS can be achieved by multiple limited surgical incisions. However, if there is an unstable ulnar metaphysis or ligament avulsion fracture, the posterior approach has to be extended and the so-called MIS fails to be established.
Keywords
minimal invasive surgery (MIS); coronoid process fracture; elbow terrible-triad; posteromedial instability; basal-coronoid trans-ulnar fracture; trans-olecranon fracture
Subject
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
