Ulnar fracture natural history, complications and prognosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2] ;
Overview
Overview
The prognosis ulnar fracture depends on many factors. However, the factors under the orthopedics surgeons control are: treatment method, timing of internal fixation in open fractures, soft-tissue handling, and restoration of osseous anatomy.
Complication
Complication
The type and frequency of complications of the ulnar fracture varies. Its been reported that the ulnar fracture related complication and post-traumatic arthritis rates are 6% – 80% and 7% -65%, respectively. Malunion with an intra-articular or extra-articular deformity non-union, tendon attrition/rupture complications and neurological injuries are the most frequent complication in this regard[1][2][3].
Prognosis
Prognosis
The prognosis of ulnar fracture is more guarded for open fractures of the shaft of the ulna with major skin and soft-tissue loss. In these patients, several operative procedures may be necessary, including initial debridement and stabilization, skin grafting, pedicle or free-flap applications, late reconstruction of the bones, and, frequently, tendon transfers[1][4][5].
References
References
- ↑ 1.0 1.1 Meena S, Sharma P, Sambharia AK, Dawar A (2014). “Fractures of distal radius: an overview”. J Family Med Prim Care. 3 (4): 325–32. doi:10.4103/2249-4863.148101. PMC 4311337. PMID 25657938.
- ↑ Stitgen A, McCarthy JJ, Nemeth BA, Garrels K, Noonan KJ (March 2012). “Ulnar fracture with late radial head dislocation: delayed Monteggia fracture”. Orthopedics. 35 (3): e434–7. doi:10.3928/01477447-20120222-35. PMID 22385459.
- ↑ Wysocki RW, Ruch DS (March 2012). “Ulnar styloid fracture with distal radius fracture”. J Hand Surg Am. 37 (3): 568–9. doi:10.1016/j.jhsa.2011.08.035. PMID 22018474.
- ↑ Manidakis N, Sperelakis I, Hackney R, Kontakis G (July 2012). “Fractures of the ulnar coronoid process”. Injury. 43 (7): 989–98. doi:10.1016/j.injury.2011.08.030. PMID 21963158.
- ↑ Siebenlist S, Schmidt-Horlohé K, Hoffmann R, Stöckle U, Lucke M (June 2011). “[Proximal ulna fractures]”. Z Orthop Unfall (in German). 149 (3): e1–e19. doi:10.1055/s-0030-1271144. PMID 21713726.
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