{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T05:52:08Z","timestamp":1782625928372,"version":"3.54.5"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the results of surgical treatment for elbow dislocations accompanied by Regan-Morrey type 2-3 coronoid fractures.\\r\\nMethods: Eight patients (6 males, 2 females; mean age 44 years; range 23 to 76 years) underwent surgical treatment for elbow dislocations accompanied by a coronoid fracture. Three patients had Regan-Morrey type 2, five patients had type 3 coronoid fractures. Accompanying injuries were Mason-Johnston type 4 radial head fractures (n=6), olecranon fractures (n=4), lateral humeral condyle fracture (n=1), and lateral (n=5) or medial (n=2) collateral ligament ruptures. Coronoid fractures were fixed with a plate, screw, or a cerclage wire in all the patients except for one patient who underwent coronoid excision. For radial head fractures, plate or screw and K-wire fixation was performed in two patients and radial head prosthesis was used in four patients. Olecranon fractures were fixed with a plate or AO tension band. Functional results were assessed using the Mayo elbow performance score. The mean follow-up period was 22.6 months (range 1 to 65.5 months). \\r\\nResults: Union was achieved in all the patients. At the latest assessments, the mean Mayo elbow performance score was 84.3 (range 50 to 100). All the patients expressed satisfaction with surgical treatment except for one patient who underwent coronoid excision. All the fixation materials used for olecranon fractures were removed after union due to implant-associated pain. Ulnar nerve transposition was required in two patients with fractures involving the anteromedial facet of the coronoid process. Two patients developed heterotopic ossification that did not affect the range of motion of the elbow.\\r\\nConclusion: Surgical treatment of elbow dislocations associated with Regan-Morrey type 2-3 coronoid fractures enables a concentric reduction of the elbow, stability, and early motion.\n\n\u00d6zet\n\nAma\u00e7: Regan-Morrey tip 2-3 koronoid k\u0131r\u0131klar\u0131n\u0131n e\u015flik etti\u011fi dirsek \u00e7\u0131k\u0131klar\u0131n\u0131n cerrahi tedavi sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, koronoid k\u0131r\u0131\u011f\u0131n\u0131n e\u015flik etti\u011fi dirsek \u00e7\u0131k\u0131\u011f\u0131 nedeniyle cerrahi tedavi uygulanan sekiz hasta (6 erkek, 2 kad\u0131n; ort. ya\u015f 44; da\u011f\u0131l\u0131m 23-76) al\u0131nd\u0131. Koronoid k\u0131r\u0131klar\u0131, Regan-Morrey s\u0131n\u0131flamas\u0131na g\u00f6re, \u00fc\u00e7 hastada tip 2, be\u015f hastada tip 3 idi. E\u015flik eden di\u011fer yaralanmalar, Mason-Johnston tip 4 radius ba\u015f\u0131 k\u0131r\u0131\u011f\u0131 (n=6), olekranon k\u0131r\u0131\u011f\u0131 (n=4), humerus lateral kondil k\u0131r\u0131\u011f\u0131 (n=1), lateral (n=5) ve medial (n=2) kollateral ba\u011f y\u0131rt\u0131\u011f\u0131 idi. Koronoid k\u0131r\u0131klar\u0131ndan birine eksizyon uygulan\u0131rken, di\u011ferlerine serklaj, vida veya koronoid pla\u011f\u0131 ile tespit uyguland\u0131. Radius ba\u015f\u0131 k\u0131r\u0131klar\u0131n\u0131n ikisi plak veya vida ve K-teli ile tespit edilirken, d\u00f6rd\u00fcne radius ba\u015f\u0131 protezi ile rekonstr\u00fcksiyon uyguland\u0131. Olekranon k\u0131r\u0131klar\u0131 ise plak veya AO tension band y\u00f6ntemiyle tedavi edildi. Fonksiyonel sonu\u00e7lar Mayo dirsek performans skoru ile de\u011ferlendirildi. Ortalama takip s\u00fcresi 22.6 ay (da\u011f\u0131l\u0131m 1-65.5 ay) idi.\\r\\nSonu\u00e7lar: T\u00fcm olgularda kaynama sa\u011fland\u0131. Son kontrollerde Mayo dirsek performans skoru ortalama 84.3 (da\u011f\u0131l\u0131m 50-100) bulundu. Koronoid k\u0131r\u0131\u011f\u0131 i\u00e7in eksizyon uygulanan hasta hari\u00e7, t\u00fcm hastalar sonu\u00e7tan memnundu. Olekranon k\u0131r\u0131kl\u0131 hastalarda, kaynama sonras\u0131nda implanta ba\u011fl\u0131 a\u011fr\u0131 nedeniyle olekranondaki tespit materyalleri \u00e7\u0131kar\u0131ld\u0131. Koronoid anteromedial faset k\u0131r\u0131kl\u0131 iki hastada ulnar sinir transpozisyonu yap\u0131ld\u0131. \u0130ki hastada dirsek hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131 etkilemeyen heterotopik ossifikasyon saptand\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Regan-Morrey tip 2-3 koronoid k\u0131r\u0131klar\u0131n\u0131n e\u015flik etti\u011fi dirsek \u00e7\u0131k\u0131klar\u0131nda cerrahi tedavi dirse\u011fin konsantrik red\u00fcksiyonu ve stabilitesini sa\u011flamakta, erken hareketi m\u00fcmk\u00fcn k\u0131lmaktad\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2008.258","type":"journal-article","created":{"date-parts":[[2008,12,7]],"date-time":"2008-12-07T07:59:48Z","timestamp":1228636788000},"page":"258-264","source":"Crossref","is-referenced-by-count":7,"title":["Surgical treatment of elbow dislocations accompanied by coronoid fractures"],"prefix":"10.5152","volume":"42","author":[{"given":"Neslihan","family":"Aksu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Fatih Korkmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"G\u00f6\u011f\u00fc\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayhan","family":"Nedim Kara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zekeriya","family":"U\u011fur I\u015f\u0131klar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2204\/2161","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:01:11Z","timestamp":1763463671000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2008,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2008.258","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}