| A technique for low-profile intramedullary fixation of intraarticular proximal ulnar fractures. | |
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MedLine Citation:
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PMID: 19138498 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Edward K Rodriguez; Andrew Eglseder |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: Journal of surgical orthopaedic advances Volume: 17 ISSN: 1548-825X ISO Abbreviation: J Surg Orthop Adv Publication Date: 2008 |
Date Detail:
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Created Date: 2009-01-13 Completed Date: 2009-02-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101197881 Medline TA: J Surg Orthop Adv Country: United States |
Other Details:
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Languages: eng Pagination: 252-61 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Shapiro 2, Boston, MA 02215, USA. ekrodrig@BIDMC.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bone Plates Bone Screws Elbow Joint Follow-Up Studies Fracture Fixation, Intramedullary / methods* Humans Pronation 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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