Suture Lasso and Lateral Plate combo Effective Treatment for Transolecranon Fracture-Dislocations : Study
Researchers have found in a new study that a combination of a suture lasso technique with a lateral plate, based on traditional internal fixation methods, has proven to be highly effective in treating transolecranon fracture-dislocations of the elbow.
The objective of this study was to evaluate the effectiveness of suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow. They retrospectively reviewed 13 patients with comminuted transolecranon fracture-dislocations of the elbow.
Our study included 6 males and 7 females with a mean of age 54.3 years. All the patients had comminuted fracture of proximal ulna and coronoid fracture of Regan-Morrey type II/III. Among them, 4 cases were combined with radial head fractures. The patients were treated with open reduction and internal fixation with suture lasso combined with lateral plate based on the traditional mode.
Results: The mean follow-up was 15.7 ± 5.8 months (range 12–33 months). During the follow-up period, the fracture and joint alignment were good, and there was no loosening of internal fixation. X-ray films showed that the fracture healing time was 3–6 months, with an average of 3.8 ± 0.9 months. Mild postoperative heterotopic ossification was observed in 2 cases. There was 1 case of poor wound healing and 1 case of ulnar nerve stimulation. At the last follow-up, the average Mayo elbow function score and Broberg-Morrey score were 91.5 ± 9.2 and 94.7 ± 6.5 points respectively. The result was classified as excellent in 9, good in 3, and fair in 1 patient.
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