Executive Editor: Peter Trafton, Michael Baumgaertner

Authors: Peter Kloen, David Ring

Proximal forearm Varus posteromedial rotational instability

back to skeleton

Glossary

Open reduction internal fixation
Indication summary Skill Equipment
Anteromedial coronoid facet fracture and lateral collateral ligament avulsion or olecranon fracture with subluxation of the elbow Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Disadvantages

  • Small coronoid fracture with joint aligned
  • No crepitation with elbow motion when the shoulder is abducted

Advantages

  • A buttress plate is the best way to secure these shearing fractures

Disadvantages

  • The ulnar nerve is at risk
  • The exposure is unfamiliar and can be difficult
Hinged external fixation following ORIF
Indication summary Skill Equipment
Comminuted coronoid fracture that needs protection or when coronoid repair does not provide sufficient elbow stability Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Advantages

  • Holds elbow aligned while early healing is established

Disadvantages

  • Places nerves at risk
  • Cumbersome
  • Pin-track infections

Alternative treatments: Cross pinning the joint or an internal hinge device

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2018-04-30