TechniquesAntegrade Reduction and Fixation of Coronoid Fractures: A New Arthroscopic TechniqueLuceri, Francesco MD*; Lesman, Jędrzej J. MD†; Cucchi, Davide MD*; Domżalski, Marcin MD, PhD†; Randelli, Pietro S. MD*; Arrigoni, Paolo MD, PhD*Author Information *Clinica Ortopedica Traumatologica, Istituto Ortopedico G.Pini, Universita’ degli Studi Di Milano, Milan, Italy †Clinic of Orthopedics, Medical University of Łódź, Łódź, Poland The authors declare no conflict of interest. Reprints: Jędrzej J. Lesman, MD, Klinika Ortopedii, USK im WAM w Łodzi, ul. Żeromskiego 113, Łódź 90-549, Polska (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: March 2020 - Volume 21 - Issue 1 - p 1-5 doi: 10.1097/BTE.0000000000000185 Buy Metrics Abstract The coronoid process (CP) is important for stabilizing the elbow joint. The elbow’s joint fracture is considered the most common factor in several cases of complex elbow dislocations. The surgical indications for recommending the CP in fractures are prolonged instabilities of the elbow. The open fixation of the CP is a demanding procedure, owing to many complications after the surgeries. Arthroscopic reduction and internal fixation have been proposed to overcome the limitations of open approaches. The aim of our study is to describe, step by step, a new surgical procedure for arthroscopically assisted fracture reduction and insertion of an antegrade guidewire for internal fixation of coronoid fractures. To perform this surgery, the knowledge of the portals in elbow arthroscopy is essential. The final stabilization is achieved by accurate positioning of the Kirschner-wire under arthroscopic control and stabilizing by the cannulated screw. The proposed technique is a safe and appealing procedure in the treatment of coronoid fractures. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.