CURRENT CONCEPTS IN ADULTS UPPER EXTREMITY FRACTURES

21452Ugur_TiftikciCurrent_Consept_in_adults.kapak

SURGICAL TREATMENT OPTIONS FOR PROXIMAL ULNA FRACTURES

Hayri Can Taşkent

Ankara Yenimahalle Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, Türkiye

Taşkent HC. Surgical Treatment Options for Proximal Ulna Fractures. In: Tiftikçi U, Erdoğan E, Ergün C, Güneş Z, editors. Current Concepts in Adults Upper Extremity Fractures. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.175-182.

ABSTRACT

The severity of proximal ulna fractures varies from simple olecranon fractures to complex Monteggia fractures or Monteggia-like lesions. Although these fractures can be seen at any age, their frequency increases in the 7th decade. The type of treatment varies depending on the age of the patient and the type of fracture. The main goal of surgery is to achieve anatomical restoration of the ulna and to try to gain the elbow movement closest to optimal. However, considering the complications that may develop in elderly patients with poor bone quality, conservative treatment may be prioritized rather than surgical treatment. To prevent joint stiffness in the elbow, repair of all components of the injury should be targeted. Otherwise, permanent arthrosis will develop due to chronic pain, poor function and chronic instability after inadequate fixation. Under this heading, surgical methods that can be used for ulna fractures will be explained, taking into account the type and severity of the injury.

Keywords: Olecranon; Monteggia; Coronoid fractures; Elderly; Anatomic restoration

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