All-Suture Anchor Fixation for Coronoid Process Fractures via a Transolecranon Fracture Approach.

Background: Coronoid process fractures are a common component of elbow injuries and present significant challenges in surgical management. The all-suture anchor fixation technique, as an emerging method, offers a novel alternative for stabilizing these fractures. By enabling dual-directional fixation, this approach provides bidirectional mechanical support, resulting in enhanced stabilization of the fracture fragment. Case Presentation: A 35-year-old male presented with a complex proximal ulnar fracture involving both the coronoid process (O'Driscoll Type III) and the olecranon. Surgical fixation was performed using an all-suture anchor inserted at the fracture site, with sutures strategically tied to a fixation plate, establishing a stable tension-band configuration. This construct provided controlled traction and stable three-dimensional support of the fragment. Postoperative recovery was uneventful, with full restoration of elbow function and no evidence of fragment displacement or complications. Conclusion: This case illustrates the technical feasibility of the all-suture anchor technique for coronoid fractures. In cases of complex proximal ulnar fractures, this technique allows for simultaneous fixation of the coronoid and olecranon through a single posterior approach, reducing soft tissue disruption.