{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T10:52:49Z","timestamp":1785927169304,"version":"3.56.0"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Numerous surgical techniques for addressing ulnar coronoid process fractures are available; however, a consensus on the optimal approach remains elusive. This study aimed to use the anterior neurovascular interval approach for the surgical management of ulnar coronoid process fractures and to evaluate its clinical outcomes over short\u2010 to mid\u2010term follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective clinical study included 20 patients with ulnar coronoid process fractures who were treated using the anterior neurovascular interval approach between January 2018 and December 2022. Participants comprised 16 males and four females, aged between 20 and 64\u2009years (mean, 34.3\u2009\u00b1\u200912.44\u2009years). Clinical and radiological evaluations were based on elbow joint range of motion (ROM), Visual analogue scale (VAS), and Mayo elbow performance score (MEPS). A paired <jats:italic>t<\/jats:italic>\u2010test was used to compare the pre\u2010operative and final follow\u2010up VAS and MEPS scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The follow\u2010up duration for all patients was at least 12\u2009months (average, 12.65\u2009\u00b1\u20091.60\u2009months). At the final follow\u2010up, measurements of elbow ROM included a mean extension of 2.85\u2009\u00b1\u20093.17\u00b0, mean flexion of 135\u2009\u00b1\u20097.25\u00b0, mean pronation of 86.4\u2009\u00b1\u20094.56\u00b0, and mean supination of 84.85\u2009\u00b1\u20095.54\u00b0. All participants reached their target MEPS, with an average score of 97.25\u2009\u00b1\u20094.72 points, and the final mean VAS score was 0.2\u2009\u00b1\u20090.52 points. The VAS score was significantly lower and MEPS score was higher at the final follow\u2010up than those before surgery (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Throughout the follow\u2010up period, all the fractures united, and the stability of the affected elbows was satisfactory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Employing the anterior neurovascular interval approach for open reduction and internal fixation to manage coronoid process fractures effectively facilitates anatomical restoration and robust fixation of ulnar coronoid process fractures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14123","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T10:40:55Z","timestamp":1717411255000},"page":"1732-1743","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of Ulnar Coronoid Process Fracture Using the Anterior Neurovascular Interval Approach: A Retrospective Clinical Study with Short\u2010 to Mid\u2010term Follow\u2010up"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3989-5351","authenticated-orcid":false,"given":"Fei","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Sir Run Run Hospital Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeyong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sir Run Run Hospital Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-4930","authenticated-orcid":false,"given":"Tangbo","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sir Run Run Hospital Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7701-9661","authenticated-orcid":false,"given":"Jian","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sir Run Run Hospital Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11050693"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2309499018825223"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971090-00011"},{"key":"e_1_2_10_5_1","first-page":"113","article-title":"Difficult elbow fractures: pearls and pitfalls","volume":"52","author":"O'Driscoll SW","year":"2003","journal-title":"Instr Course 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