Document Detail

A technique for low-profile intramedullary fixation of intraarticular proximal ulnar fractures.
MedLine Citation:
PMID:  19138498     Owner:  NLM     Status:  MEDLINE    
A technique for low-profile fixation of intraarticular proximal ulnar fractures using an intramedullary (IM) screw is described. A retrospective study of the early outcome of patients treated with this technique versus patients treated with 3.5-mm LCDP plating is also presented. The authors report on 33 patients managed with IM fixation and 16 managed with plate fixation. Mean follow-up time was 16 months. Injuries managed with IM fixation had decreased flexion contractures and improved pronation (p<.05) compared with injuries treated with plating. Elbow arc of motion and supination did not differ significantly. Hardware removal was required in 56% of injuries treated with plating and in 9% of injuries treated with IM fixation. Release for limited motion was required in about 25% of patients in both groups. Mayo scores did not differ between both groups. Low-profile intramedullary fixation facilitates wound closure and soft tissue management and results in similar short-term outcomes as plating. The authors recommend this technique for cases with significant soft tissue injury where plating may result in a difficult closure or prominent hardware.
Edward K Rodriguez; Andrew Eglseder
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Journal of surgical orthopaedic advances     Volume:  17     ISSN:  1548-825X     ISO Abbreviation:  J Surg Orthop Adv     Publication Date:  2008  
Date Detail:
Created Date:  2009-01-13     Completed Date:  2009-02-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101197881     Medline TA:  J Surg Orthop Adv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-61     Citation Subset:  IM    
Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Shapiro 2, Boston, MA 02215, USA.
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MeSH Terms
Bone Plates
Bone Screws
Elbow Joint
Follow-Up Studies
Fracture Fixation, Intramedullary / methods*
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Ulna Fractures / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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