- Discussion:
- small fractures of the coronoid process itself are unimportant;
- large coronoid fractures involve the distal articular surface of trochlear notch
which can lead to significant instability of elbow in extension;
- these frx require plate to neutralize forces across site of comminution;
- frx of coronoid, is reduced first, & is then fixed w/ lag screw passed up
thru posterior cortex of ulna;
- this should restor stability of elbow in extension;
- assoc frx of coronoid process is reduced & fixed w/ 4.0 mm cancellous
bone screw or a 3.5 mm cannulated screw as lag screw;
- protection of lag screws w/ one third tubular plate, 3.5 mm DCP or
LC-DCP, or a 3.5 mm reconstruction plate;
- See:
Surgical Approach:
