Suture Button Fixation for Regan-Morrey Type II Coronoid Fracture of Anterior and Posterior Monteggia Fracture: A Report of Two Cases.

Shiro Yoshida, Mitsuhiro Matsuura, Yusuke Ogrura, Taiki Nishimura, Koji Hiraoka

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Article in Journal of hand surgery global online, 2025. 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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5 authors.

Shiro YoshidaDepartment of Orthopaedic Surgery, School of Medicine, Kurume University, Kurume, Fukuoka, Japan.

Mitsuhiro MatsuuraDepartment of Orthopaedic Surgery, School of Medicine, Kurume University, Kurume, Fukuoka, Japan.

Yusuke OgruraDepartment of Orthopaedic Surgery, School of Medicine, Kurume University, Kurume, Fukuoka, Japan.

Taiki NishimuraDepartment of Orthopaedic Surgery, School of Medicine, Kurume University, Kurume, Fukuoka, Japan.

Koji HiraokaDepartment of Orthopaedic Surgery, School of Medicine, Kurume University, Kurume, Fukuoka, Japan.

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6 · The paper itself

Abstract

This report details two cases of Monteggia fracture-dislocations that were successfully managed using the TightRope suture button technique via the posterior approach. The first case involved a 26-year-old man with type IID posterior Monteggia fracture-dislocation. Treatments included coronoid stabilization, radial head replacement, and variable-angle elbow plate placement. Seventeen months after the injury, his elbow motion ranged from 15° to 115°, with 50° supination and 10° pronation. In the second case, a 50-year-old woman with type IID anterior olecranon fracture-dislocation achieved elbow motion from 10° to 125° at 12 months after injury, with 80° supination and 70° pronation following similar fixation. Both patients underwent surgery using a global posterior approach. TightRope fixation was used for coronoid tip fragments, whereas locking plates were used for proximal ulnar and olecranon fractures. This method eliminates the need for an anterior incision and allows open reduction internal fixation through a single incision.

Indexed as

CoronoidMonteggia fractureRegan-Morrey type II coronoid fractureSuture button fixationUlnar fracture

Identifiers

PMID41036254

DOI10.1016/j.jhsg.2025.100834

PMCPMC12481922

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