J Korean Orthop Assoc.  2024 Feb;59(1):72-76. 10.4055/jkoa.2024.59.1.72 .

Modified Suture Lasso Technique for the Coronoid Process Fractures of the Elbow: Technical Note

• Park C
• Shin W
• Suh SP

• KMID: 2553352
• DOI: http://doi.org/10.4055/jkoa.2024.59.1.72

Abstract

The coronoid process of the ulna surrounds the distal humerus and plays a vital role in posterior dislocation and posterolateral rotational instability. Elbow stability may not be possible if there is a more than 50% loss. Anteromedial facet fractures can lead to instability, radioulnar synostosis. ulnohumeral arthrosis, severe stiffness. Therefore, surgical fixation is required to ensure adequate elbow stability and decrease the risk of posttraumatic ulnohumeral arthrosis. There are several approaches for the repair of coronoid process fractures. In most cases, the posterior approach was used to make a transosseous tunnel connecting the posterior aspect of the olecranon to fix the fracture site. During surgery, the additional dissection required to repair the coronoid might increase the infection risk, nerve injury, heterotopic ossification, and elbow stiffness. The author performed a modified suture lasso and plate fixation with good outcomes. This paper reports this case with a review of the relevant literature.

Keyword

coronoid process; modified suture lasso; elbow joint