synonyms:coronoid fracture ORIF, coronoid process fracture ORIF
Coronoid Fracture ORIF CPT
Coronoid Fracture ORIF Indications
- Displaced coronoid process fracture
Coronoid Fracture ORIF Contraindications
- Medically unstalbe
- Active infection
Coronoid Fracture ORIF Alternatives
Coronoid Fracture ORIF Pre-op Planning
- Ensure appropriate plate and screws are available.
Coronoid Fracture ORIF Technique
- If associated with radial head fracture can ofter repair using suture lasso technique throught the radial head lateral incision approach.
- Standard posterior medial approach. Elevate thick flaps.
- Identify ulnar nerve proximal and release from cubitual tunnel, fascia,
- Divide flexor pronator fascia and preserve any motor brances of ulnar nerve and preserve.
- Elevate flexor pronator muscle mass off the capsule and collateral ligament complex.
- Remove intraarticular debrie
- Place sutures into anterior capsule and drill holes in ulnar for later repair through bone tunnels.
- Reduced corocoid fracture and secure with screws/plate
- Repair capsule and ensure function of UCL.
- Repair flexor pronator mass with suture anchor in medial epicondyle
- Consider transposing ulnar nerve with fascial sling.
Coronoid Fracture ORIF Complications
Coronoid Fracture ORIF Follow-up care
- Post-op: Posterior splint, NWB
- 7-10 Days: Wound check. Place in hinged brace. May begin gentle ROM exercises depending on fracture stability, associated injuries.
- 6 Weeks: review xrays. PT progress with ROM.
- 3 Months: Review xrays. Gradually resume normal activities.
- 6 Months: Evaluate motion and xrays.
Coronoid Fracture ORIF Outcomes
Coronoid Fracture ORIF Review References