{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:31:04Z","timestamp":1786123864834,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The modified anterior neurovascular interval approach provides direct access to the anterior coronoid while preserving the flexor-pronator origin. However, the narrow working corridor makes conventional mini-plate fixation technically challenging, often requiring repeated contouring and supplementary lag screws. We developed a specialized anatomical hook-plate (SAHP) and compared it with conventional mini-plate (CMP) fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed patients with unstable ulnar coronoid fractures (Regan-Morrey type II\/III) treated via the anterior approach between January 2022 and January 2025. Twenty-five consecutive patients treated with SAHP were matched 1:1 with 25 CMP controls. Matching criteria included injury mechanism, Regan-Morrey classification, dominant fracture zone, and concomitant procedures. Operative time, supplementary lag screw use, union time, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder and Hand (DASH) score, flexion-extension arc, and complications were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All 50 patients completed follow-up (median, 12.5 months; range, 12\u201320 months). Operative time was significantly shorter in the SAHP group than in the CMP group (93.2 \u00b1 26.8 vs. 112.4 \u00b1 30.5 min; mean difference \u221219.2 min, 95% CI \u221229.8 to \u22128.6; P = 0.001). Supplementary lag screws were required in 15 patients (60.0%) in the CMP group and in none of the SAHP group (P &lt; 0.001). All fractures achieved union. At final follow-up, functional outcomes (MEPS, DASH, flexion-extension arc) were similar between groups (all P &gt; 0.05). No fixation failure or reoperation occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For coronoid fractures requiring anterior buttress fixation, the SAHP simplifies the procedure by reducing operative time and eliminating the need for supplementary lag screws compared to conventional mini-plates. This may lower the technical barrier for this challenging approach while providing comparable short-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261476723","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:49:24Z","timestamp":1785883764000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A pre-contoured hook-plate simplifies anterior coronoid fixation: A matched-pair study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2806-6103","authenticated-orcid":false,"given":"Zheng","family":"Jinwen","sequence":"first","affiliation":[{"name":"Sichuan Provincial Orthopedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Xiang","sequence":"additional","affiliation":[{"name":"Sichuan Provincial Orthopedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiping","family":"Li","sequence":"additional","affiliation":[{"name":"Sichuan Provincial Orthopedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hang","family":"Chen","sequence":"additional","affiliation":[{"name":"Sichuan Provincial Orthopedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinsong","family":"Yang","sequence":"additional","affiliation":[{"name":"Sichuan Provincial Orthopedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Sichuan Provincial Orthopedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200012000-00009"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.11.005"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971090-00011"},{"key":"e_1_3_7_5_2","first-page":"113","article-title":"Difficult elbow fractures: pearls and pitfalls","volume":"52","author":"O'Driscoll SW","year":"2003","unstructured":"O'Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect 2003; 52: 113\u2013134.","journal-title":"Instr Course Lect"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199112000-00003"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200204000-00006"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.04.012"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01533"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012041"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.14123"},{"issue":"4","key":"e_1_3_7_12_2","first-page":"373","article-title":"Modified anterior median neurovascular approach for coronoid process fractures","volume":"43","author":"Zhang Q","year":"2025","unstructured":"Zhang Q, Deng MY, Xiang M, et al. Modified anterior median neurovascular approach for coronoid process fractures. Chin J Clin Anat 2025; 43(4): 373\u2013376.","journal-title":"Chin J Clin Anat"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e31824e6a74"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000444"},{"issue":"6","key":"e_1_3_7_15_2","first-page":"534","article-title":"Advances in the treatment of ulnar coronoid process fractures","volume":"21","author":"Tang H","year":"2019","unstructured":"Tang H, Jiang XY. Advances in the treatment of ulnar coronoid process fractures. Chin J Orthop Trauma 2019; 21(6): 534\u2013538.","journal-title":"Chin J Orthop Trauma"},{"issue":"3","key":"e_1_3_7_16_2","first-page":"154","article-title":"Optimal screw orientation for fixation of coronoid fractures","volume":"23","author":"Moon JG","year":"2009","unstructured":"Moon JG, Zobitz ME, An KN, et al. Optimal screw orientation for fixation of coronoid fractures. J Orthop Trauma 2009; 23(3): 154\u2013157. https:\/\/doi.org\/10.1097\/BOT.0b013e31819df8c9","journal-title":"J Orthop Trauma"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.13460"},{"issue":"10","key":"e_1_3_7_18_2","first-page":"e360","article-title":"Fixation of coronoid process fractures: a biomechanical evaluation using a mesh plate","volume":"32","author":"Morellato J","year":"2018","unstructured":"Morellato J, Louati H, Gettings S, et al. Fixation of coronoid process fractures: a biomechanical evaluation using a mesh plate. J Orthop Trauma 2018; 32(10): e360\u2013e365.","journal-title":"J Orthop Trauma"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198703000-00017"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07637-1"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-011-0825-7"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.08.014"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261476723","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536261476723","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261476723","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:30:00Z","timestamp":1786120200000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536261476723"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/10225536261476723"],"URL":"https:\/\/doi.org\/10.1177\/10225536261476723","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"10225536261476723"}}