Evidence map›Paper›PMID 38828840›Full record

ArticleOrthopaedic surgery2024

Treatment of Ulnar Coronoid Process Fracture Using the Anterior Neurovascular Interval Approach: A Retrospective Clinical Study with Short- to Mid-term Follow-up.

Fei Yang, Zeyong Wang, Tangbo Yuan, Jian Qin

Abstract read
In one paragraph

Article in Orthopaedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Fei YangDepartment of Orthopedics, Sir Run Run Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0009-0009-3989-5351
Zeyong WangDepartment of Orthopedics, Sir Run Run Hospital, Nanjing Medical University, Nanjing, China.
Tangbo YuanDepartment of Orthopedics, Sir Run Run Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-6617-4930
Jian QinDepartment of Orthopedics, Sir Run Run Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-7701-9661

Funding

Medical research projects of Jiangsu Provincial Health Commission in 2023 K2023048Medical research projects of Jiangsu Provincial Health Commission in 2023 Z2023085Nanjing Health Science and Technology Development Special Fund Project YKK22207
6 · The paper itself

Abstract

objectiveNumerous surgical techniques for addressing ulnar coronoid process fractures are available; however, a consensus on the optimal approach remains elusive. This study aimed to use the anterior neurovascular interval approach for the surgical management of ulnar coronoid process fractures and to evaluate its clinical outcomes over short- to mid-term follow-up.

methodsThis retrospective clinical study included 20 patients with ulnar coronoid process fractures who were treated using the anterior neurovascular interval approach between January 2018 and December 2022. Participants comprised 16 males and four females, aged between 20 and 64 years (mean, 34.3 ± 12.44 years). Clinical and radiological evaluations were based on elbow joint range of motion (ROM), Visual analogue scale (VAS), and Mayo elbow performance score (MEPS). A paired t-test was used to compare the pre-operative and final follow-up VAS and MEPS scores.

resultsThe follow-up duration for all patients was at least 12 months (average, 12.65 ± 1.60 months). At the final follow-up, measurements of elbow ROM included a mean extension of 2.85 ± 3.17°, mean flexion of 135 ± 7.25°, mean pronation of 86.4 ± 4.56°, and mean supination of 84.85 ± 5.54°. All participants reached their target MEPS, with an average score of 97.25 ± 4.72 points, and the final mean VAS score was 0.2 ± 0.52 points. The VAS score was significantly lower and MEPS score was higher at the final follow-up than those before surgery (p < 0.05). Throughout the follow-up period, all the fractures united, and the stability of the affected elbows was satisfactory.

conclusionEmploying the anterior neurovascular interval approach for open reduction and internal fixation to manage coronoid process fractures effectively facilitates anatomical restoration and robust fixation of ulnar coronoid process fractures.

Indexed as

Fracture Fixation, InternalUlna FracturesAdultElbow JointFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementRange of Motion, ArticularRetrospective StudiesYoung AdultAnterior approachCoronoid processElbow fractureInternal fixation

Identifiers

PMID38828840
PMCPMC11216846

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