Copyright
©The Author(s) 2016.
World J Orthop. Jan 18, 2016; 7(1): 50-54
Published online Jan 18, 2016. doi: 10.5312/wjo.v7.i1.50
Published online Jan 18, 2016. doi: 10.5312/wjo.v7.i1.50
Author | Ring et al[16] | Chemama et al[22] | Konrad et al[26] | Mouhsine et al[29] | Zeiders et al[21] | Winter et al[13] | Mortazavi et al[30] | Strauss et al[27] |
Year | 2002 | 2010 | 2007 | 2007 | 2008 | 2009 | 2006 | 2006 |
Mean age (range) | 36 (17-62) | 46 (26-75) | 42.1 (21-72) | 54 (22-82) | NA | 40 (18-77) | 35 (22-58) | UHD+: 46.8 UHD-: 55 |
n (female/male) | 56 (21/35) | 23 (7-16) | 63 (22/41) | 14 (8/6) | 32 (NA) | 13 (4/9) | 8 (1/7) | UHD+: 6 (2/4) UHD-: 17 (12/5) |
Radial fracture Mason classification | Type 2: 30 Type 3: 26 | Type 1: 2 Type 2: 9 Type 3: 10 Radial neck: 2 | Type 2: 7 Type 3: 9 | NA | NA | 13 non-reperable RH fracture | Type 1: 1 Type 3: 1 | UHD+: Type 1: 1 Type 2: 2 Type 3 : 3 |
Coronoid fracture classification R-M | NA | Type 1: 16 Type 2: 7 | NA | NA | NA | Type 1: 5 Type 2-3: 8 | Type 3: 4 | UHD+: Type 1: 4 Type 3: 2 |
Monteggia fracture classification (BADO) | NA | NA | Type 1: 19 Type 2: 37 Type 3: 5 Type 4: 2 | NA | NA | NA | NA | Type 2: 6 (UHD+) Type 2: 17 (UHD-) |
Time to surgery | NA | NA | First 24 h | NA | NA | 1.9 d (1-4) | 3.8 d | NA |
Monteggia fracture Ulna treatment | NA | NA | Bado 1, 3, 4 (26 3.5 mm DCP) Bado 2 (26 plate, 11 tension band) | NA | NA | NA | NA | UHD+: Small fragment plates UHD-: Small fragment plates |
Transolecranon fracture treatment | NA | NA | NA | K-wire and tension band: 7 3.5 mm 1/3 plate: 2 3.5 mm DCP: 1 3.5 mm recon. plate: 4 | NA | NA | 3.5 mm AO recons. Plate: 7 K-wire and tension band: 1 | NA |
Coronid treatment | NA | None: 10 TOS: 3 Anchor: 2 Screw: 4 Plate: 1 Resection: 3 | Lag screws through the ulnar plate or indirect repositioning | NA | 32 patients repair of coronoid brachialis Complex pull-through suture tec | NA | 4 patients interfragmentary Screws through the plate | UHD+: Type 3 (lag screws) |
Radial head treatment | Mason 2: 26 (screw), 4 (plate, screw) Mason 3: 22 (plate, screw), 4 (screw) | 13 mini screws Radial neck: 2 plate RHP: 4 PRHR: 2 TRHR: 2 | 46 luxation CR 12 RH ORIF 4 RH resection | NA | 6-intact RH 7-reconst 19-prothesis | 13 RHP | 1 type 1: Mini screws 1 type 3: Total exicision RH | Type 1, 2: mini fragment plates Type 3: 3 replacement |
LCL repair | NA | NA | NA | None | 18 (anchor) 12 (mcl + lcl rep) | No: 4 abs suture Used for repair | NA | UHD+: 6 |
MCL repair | NA | NA | NA | None | 2 (ancor) 12 (mcl + lcl rep) | NA | NA | UHD+: 0 |
External fixator | NA | None | NA | None | 21 hinged ex-fix | NA | NA | UHD+: 1 hinged ex-fix |
Follow-up | 48 mo | 63 mo | 8.4 yr (5-14) (47 patients) | 42 mo (7-84) | 3 yr (1-5) | 25 mo (15-48) | 37.4 mo (10-50) | UHD+: 28 mo (14-48) UHD-: 29 (12-60) |
Range of motion | MFA Mason 2: 119 Mason 3: 111 | MFA: 109 MSA: 64 MPA: 70 | MFA: 97.5 MFR: 125 | MFA: 103 MSA: 76 MPA: 68 | MFA: 100 | MFA: 120 | MFA: 93 MFR: 157.5 | UHD+: MFA 95, MSA 55, MPA 50 UND-: MFA 122, MSA 67, MPA 60 |
Mean score | Mason 2: BM: 92 Mason 3: BM: 86 | MEPS: 87 (75-100) 14 patients result | BM: 87.2 (45-100) DASH: 17.4 (0-70) | BM: 82 (78-100) | DASH: 23 (19/28) | BM: 86.5 (55-100) | BM: 88 (71-100) ASES: 89 (69-100) | UHD+: DASH 34 (0-80), BM: 73.8 UHD-: DASH 23 (0-70), BM: 83 |
Unsatisfactory | Mason 2: 4 Mason 3: 14 | BM: 0 | BM: (9 fair) (4 poor) result | BM: 2 fair 2 poor | 2 (stiffness, infection) | BM: 1 fair | UHD+: 2 UHD-: 7 |
- Citation: Ozel O, Demircay E. Review of management of unstable elbow fractures. World J Orthop 2016; 7(1): 50-54
- URL: https://www.wjgnet.com/2218-5836/full/v7/i1/50.htm
- DOI: https://dx.doi.org/10.5312/wjo.v7.i1.50