38 cases of fracture of ulna coronoid Treatment.docVIP

 PAGE \* MERGEFORMAT 7 38 cases of fracture of ulna coronoid Treatment [Keywords:] fracture of ulna coronoid March 2002 -2008 in September, our hospital 38 patients with acute fracture of ulna coronoid Ⅲ, respectively anterior and combined anterior open reduction and internal fixation, with satisfactory results. 1 Materials and methods 1.1 Case information Anterior group of 17 patients, 13 males and 4 females, aged 18 to 53 years, mean 38.5 years of age. Injury: or 3 cases, 8 cases of fall injury, traffic accident in 6 cases. Fractures type: all new closed injury. combined 14 cases of elbow dislocation, radial head fractures in 8 cases, 3 cases of radial neck fracture, medial collateral ligament injury in 4 cases. before and after the combined approach surgery group 21 patients, 15 males and 6 females, age 24 ~ 66 years, mean 43.5 years of age. Injury: Down in 8 cases, 6 cases of fall injury, traffic accident in 7 cases, types of fractures: are fresh closed injuries. combined 13 cases of elbow dislocation, radial head fracture in 7 cases, 2 cases of radial neck fracture, medial collateral ligament injury in 8 cases. According to Regan classification, 38 cases were type Ⅲ ulna coronoid fractures. 1.2 Treatment Brachial plexus anesthesia, a small number of patients using general anesthesia. Supine position, limb abduction and external rotation, elbow flexion to set the operating table can stand. Arm bar pneumatic tourniquets. From the outside as on the elbow before the “S” shaped incision to expose the elbow in front of the structure, identification and protection of the brachial artery, median nerve, radial nerve and the musculocutaneous nerve. from the inside to open the forearm brachial two flexor tendon origin and the gap will brachial muscle dissected from the joint capsule, the joint capsule between the brachial muscle and separated from the inside out to expose the brachial two brachioradialis tendon and muscle gap cut in the brachial