Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow
Abstract Objective 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. Method We retrospectively reviewed 13 patients with comminuted transolecranon fracture-dislocations of the elb...
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2025-05-01
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| Online Access: | https://doi.org/10.1186/s12893-025-02972-z |
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| author | Tongtong Li Zengliang Wang Guoyun Bu Shucai Bai Chen Li Fei Chen Peng Yang Xuelei Wei |
| author_facet | Tongtong Li Zengliang Wang Guoyun Bu Shucai Bai Chen Li Fei Chen Peng Yang Xuelei Wei |
| author_sort | Tongtong Li |
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| description | Abstract Objective 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. Method We 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. The excellent and good rate was 92.3%. Conclusions Our study suggested that suture lasso combined with lateral plate based on the traditional internal fixation mode was highly effective for the treatment of transolecranon fracture-dislocations of the elbow. Especially for the patient with comminuted proximal ulna, the restoration and fixation of coronoid process were quite important to increase the stability of the elbow joint and lead to good clinical efficacy. |
| format | Article |
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| institution | DOAJ |
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| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Surgery |
| spelling | doaj-art-4a0d9f4f8ecd43e99fda253798cd0b182025-08-20T03:22:00ZengBMCBMC Surgery1471-24822025-05-012511710.1186/s12893-025-02972-zSuture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbowTongtong Li0Zengliang Wang1Guoyun Bu2Shucai Bai3Chen Li4Fei Chen5Peng Yang6Xuelei Wei7Department of Orthopedics, Tianjin HospitalDepartment of Orthopedics, Tianjin HospitalDepartment of Orthopedics, Tianjin HospitalDepartment of Orthopedics, Tianjin HospitalDepartment of Orthopedics, Tianjin HospitalDepartment of Radiology, Tianjin HospitalDepartment of Radiology, Tianjin HospitalDepartment of Orthopedics, Tianjin HospitalAbstract Objective 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. Method We 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. The excellent and good rate was 92.3%. Conclusions Our study suggested that suture lasso combined with lateral plate based on the traditional internal fixation mode was highly effective for the treatment of transolecranon fracture-dislocations of the elbow. Especially for the patient with comminuted proximal ulna, the restoration and fixation of coronoid process were quite important to increase the stability of the elbow joint and lead to good clinical efficacy.https://doi.org/10.1186/s12893-025-02972-zTransolecranon fracture-dislocationsComminuted fracture of proximal ulnaCoronoid fractureSuture LassoLateral plate |
| spellingShingle | Tongtong Li Zengliang Wang Guoyun Bu Shucai Bai Chen Li Fei Chen Peng Yang Xuelei Wei Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow BMC Surgery Transolecranon fracture-dislocations Comminuted fracture of proximal ulna Coronoid fracture Suture Lasso Lateral plate |
| title | Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow |
| title_full | Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow |
| title_fullStr | Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow |
| title_full_unstemmed | Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow |
| title_short | Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow |
| title_sort | suture lasso combined with lateral plate in comminuted transolecranon fracture dislocations of the elbow |
| topic | Transolecranon fracture-dislocations Comminuted fracture of proximal ulna Coronoid fracture Suture Lasso Lateral plate |
| url | https://doi.org/10.1186/s12893-025-02972-z |
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