An analysis of clinical effects of 9 cases of fracture of ulna coronoid process with posterior dislocation of elbow joint

Objective To investigate the management of the fracture of the ulna coronoid process combined with posterior dislocation of the elbow joint. Methods A retrospective study was done to analyze the 9 cases of fracture of the ulna coronoid process combined with posterior dislocation of the elbow joint who had been treated from March 2000 to May 2003 in our hospitals. 8 cases were treated with operations through internal or lateral approach according to their specific types, and early functional exercises were encouraged. Results Follow-ups of 8 to 24 months for all the patients proved that no severe complications of the elbow joint occurred in the group. According to HSS evaluation, 5 cases (55.6%)were rated as excellent, 2 (22.2%) good, and 2 (22.2%)fair. Conclusion A reasonable surgical approach and early functional exercises are essential to good outcomes of the treatment of this kind of fractures.