M.E.Müller: Atlas: Fracture 21-B1

Radius/Ulna, Proximal,
articular fracture, ulna,
radius intact
1,92% of the total
15,00% of the radius/ulna
47,47% of the segment

802 fractures
76,8% group
46%M, 54%F

128 fractures
12,3% group
49%M, 51%F

114 fractures
10,9% group
56%M, 44%F

Unifocal +Q Bifocal simple +Q Bifocal multifragmentary +Q

These are articular fractures of one of the bones of the forearm, the other one being intact (B1, B2) or combining articular fracture of one with an extra-articular fracture of the other (B3). Ref. Manual of Internal Fixation:
184 - 187. 458 - 465.
Surgeon. RO, RO, MS, MS.

The classic procedure for the olecranon fractures is based on the tension band principle, assembled over Kirschner wires, and can be combined with a lag screw in fractures with an oblique fracture line. The Kirschner wires may either be placed intramedullarly or their distal end may be driven into the anterior cortex of the diaphysis. Their proximal end should be bent 180º and knocked into the cortex of the olecranon. For multifragmentary fractures, contoured small fragment plates can also be used.

The radial head fractures, when reconstructible, can be internally fixed with small fragment screws, with or without the support of a Kirschner wire that will have to be removed later on. The simple excision, with or without prosthetic substitution, is the best solution for the largely comminuted fractures and for the associated fractures of both bones.

The provisional fixation of the radial head with a transarticular wire placed through the humeral condyle (see B3.3) may be useful in some cases.

preoperative

4 months

preoperative

4 months




						Radius/Ulna, Proximal, articular fracture, ulna, radius intact	1,92% of the total 15,00% of the radius/ulna 47,47% of the segment






These are articular fractures of one of the bones of the forearm, the other one being intact (B1, B2) or combining articular fracture of one with an extra-articular fracture of the other (B3).		Ref. Manual of Internal Fixation: 184 - 187. 458 - 465. Surgeon. RO, RO, MS, MS.

The classic procedure for the olecranon fractures is based on the tension band principle, assembled over Kirschner wires, and can be combined with a lag screw in fractures with an oblique fracture line. The Kirschner wires may either be placed intramedullarly or their distal end may be driven into the anterior cortex of the diaphysis. Their proximal end should be bent 180º and knocked into the cortex of the olecranon. For multifragmentary fractures, contoured small fragment plates can also be used.	The radial head fractures, when reconstructible, can be internally fixed with small fragment screws, with or without the support of a Kirschner wire that will have to be removed later on. The simple excision, with or without prosthetic substitution, is the best solution for the largely comminuted fractures and for the associated fractures of both bones. The provisional fixation of the radial head with a transarticular wire placed through the humeral condyle (see B3.3) may be useful in some cases.