A comparative study on the validity and reliability of anterior, medial, and posterior approaches for internal fixation in the repair of fractures of the coronoid process of the ulna

doi:10.1186/s40001-018-0336-7

科研成果详情

题名	A comparative study on the validity and reliability of anterior, medial, and posterior approaches for internal fixation in the repair of fractures of the coronoid process of the ulna
作者	Chen, Hong-Wei 1; Teng, Xiao-Feng 2
发表日期	2018-09-11
发表期刊	EUROPEAN JOURNAL OF MEDICAL RESEARCH 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Internal fixation Coronoid process Fracture Posterior approach Anterior approach Medial approach
其他关键词	RADIAL HEAD ; ELBOW ; DISLOCATIONS
摘要	Background: The coracoid process plays an important role in maintaining the stability of the elbow joint. A fracture of the coronoid process is often treated via surgical approaches, including open reduction and internal fixation, which aim to regain a stable, flexible, and loadable joint. In this study, we compared the anterior, medial, and posterior approaches of internal fixation in the repair of fractures of the coronoid process of the ulna. Methods: In this retrospective study, 147 patients with fractures in the coronoid process of the ulna were recruited and classified into the anterior group (n = 73), the medial group (n = 32), and the posterior group (n = 42) according to the surgical approach used for internal fixation. These patients were assessed with respect to incision, operative time, estimated blood loss, fracture healing, and postoperative complications. The Mayo Elbow Performance Score was used to evaluate any form of disability associated with elbow injuries. Multivariate logistic regression analysis was performed to investigate the factors influencing the efficacy of fractures of the coronoid process of the ulna. Results: In the medial approach group, the operative time was longer, and perioperative blood loss and postoperative drainage volume were obviously increased compared with the anterior and posterior groups. The anterior group exhibited a better postoperative recovery compared with the medial, and posterior groups. Compared with the anterior group, fracture-healing time in the posterior group was further reduced, whereas elbow joint flexion extension and forearm rotation degree improved. Complications were significantly reduced in the posterior approach group compared with the anterior and medial groups. The factors influencing the efficacy of fractures of the coronoid process of the ulna included the Regan-Morrey classification, perioperative blood loss, and the internal fixation approach. Conclusion: In summary, the approach used influences fracture healing or the outcome after osteosynthesis. The posterior internal fixation method produced satisfactory functional outcomes in patients with fractures of the coronoid process of the ulna.
资助项目	Science Technology Department of Zhejiang Province [2013C33216]; Health Bureau of Zhejiang Province [2014KYB296]; Yiwu Science and Technology Project [2013-G3-02]; Yiwu High-Level Talents Research Project [201603]
出版者	BMC
出版地	LONDON
ISSN	0949-2321
EISSN	2047-783X
卷号	23 期号:1 页码:40
DOI	10.1186/s40001-018-0336-7
页数	8
WOS类目	Medicine, Research & Experimental
WOS研究方向	Research & Experimental Medicine
WOS记录号	WOS:000444529000001
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	30205841
PMC记录号	PMC6131958
SCOPUSEID	2-s2.0-85053279728
通讯作者地址	[Chen, Hong-Wei]Department of Orthopedic Surgery,Yiwu Central Hospital,Affiliated Hospital,Wenzhou Medical University,No. 699, Jiangdong Road,Yiwu, Zhejiang,322000,China
Scopus学科分类	Medicine (all)
引用统计	被引频次：2[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/16300
专题	第一临床医学院（信息与工程学院）、附属第一医院_外科学_整形外科
通讯作者	Chen, Hong-Wei
作者单位	1.Department of Orthopedic Surgery,Yiwu Central Hospital,Affiliated Hospital,Wenzhou Medical University,No. 699, Jiangdong Road,Yiwu, Zhejiang,322000,China; 2.Department of Orthopedics,Ningbo NO.6 Hospital,Ningbo,315040,China
第一作者单位	第一临床医学院（信息与工程学院）、附属第一医院_外科学_整形外科
通讯作者单位	第一临床医学院（信息与工程学院）、附属第一医院_外科学_整形外科
第一作者的第一单位	第一临床医学院（信息与工程学院）、附属第一医院_外科学_整形外科
推荐引用方式 GB/T 7714	Chen, Hong-Wei,Teng, Xiao-Feng. A comparative study on the validity and reliability of anterior, medial, and posterior approaches for internal fixation in the repair of fractures of the coronoid process of the ulna[J]. EUROPEAN JOURNAL OF MEDICAL RESEARCH,2018,23(1):40.
APA	Chen, Hong-Wei, & Teng, Xiao-Feng. (2018). A comparative study on the validity and reliability of anterior, medial, and posterior approaches for internal fixation in the repair of fractures of the coronoid process of the ulna. EUROPEAN JOURNAL OF MEDICAL RESEARCH, 23(1), 40.
MLA	Chen, Hong-Wei,et al."A comparative study on the validity and reliability of anterior, medial, and posterior approaches for internal fixation in the repair of fractures of the coronoid process of the ulna".EUROPEAN JOURNAL OF MEDICAL RESEARCH 23.1(2018):40.