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Sebastian Siebenlist Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Germany

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Arne Buchholz Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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Karl F. Braun Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany

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Introduction Fractures of the proximal ulna range in severity from simple olecranon fractures to complex Monteggia fractures or Monteggia-like lesions involving damage to stabilizing key structures of the elbow (i.e. coronoid process, radial

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Joaquín Sanchez-Sotelo Mayo Clinic, Rochester, Minnesota, USA

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Mark Morrey Mayo Clinic, Rochester, Minnesota, USA

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fracture of the coronoid process of the ulna . J Shoulder Elbow 2005 ; 14 : 60 - 4 . 11 Watters TS , Garrigues GE , Ring D , Ruch DS . Fixation versus replacement of radial head in terrible triad: is there a

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Anna E van der Windt Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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Lisette C Langenberg Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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Joost W Colaris Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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Denise Eygendaal Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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elbow joint, secondary to the collateral ligaments and coronoid process. The management of radial head fractures encompasses a spectrum of treatment options, spanning from conservative methods to surgical procedures such as internal fixation

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Luca Dei Giudici Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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Andrea Faini Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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Luca Garro II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy

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Agostino Tucciarone II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy

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Antonio Gigante Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Università Politecnica delle Marche, Ancona, Italy

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process and of the tunnel to be prepared, a prompt diagnosis of associated lesions in the shoulder joint, a better aesthetic outcome, a closed reduction without the need for a delayed hardware removal, better pain relief and the application of a local

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Megan Conti Mica University of Chicago, Chicago, Illinois, USA
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium

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Pieter Caekebeke University of Chicago, Chicago, Illinois, USA
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium

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Roger van Riet University of Chicago, Chicago, Illinois, USA
Department of Orthopedics, AZ Monica, Deurne, Belgium
Department of Orthopedics, AZ Monica, Deurne, and University Hospital Antwerp, Edegem, Belgium

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as the radial head and coronoid process, 3 and dynamic muscular constraints such as wrist and finger extensors. 4 Any and all of these stabilisers can be involved in chronic PLRI. It is important to note, however, that the proximal

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Mark F Siemensma Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Anna E van der Windt Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Eline M van Es Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Joost W Colaris Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Denise Eygendaal Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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space Radial head Capitellum  3 Olecranon tip Proximal radioulnar joint Radial head  4 Ulnohumeral joint Anterior capsule  5 Ulnar joint side  6 Coronoid process Goals  1 Fibrous

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Frédéric Vauclair Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Ngoc Tram V. Nguyen Mayo Clinic, Rochester, Minnesota, USA

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Joaquin Sanchez-Sotelo Mayo Clinic, Rochester, Minnesota, USA

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risk factors for nonunion or infection with the potential to be corrected prior to further surgical management. These include smoking, poor nutritional status, metabolic disorders, immunosuppressant medications, active inflammatory processes and poor

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Thomas J. Holme St George’s University Hospitals NHS Foundation Trust, London, UK

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Marta Karbowiak St George’s, University of London, London, UK

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Magnus Arnander St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Yael Gelfer St George’s University Hospitals NHS Foundation Trust, London, UK
St George’s, University of London, London, UK

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Appendix 1 . Fig. 1 Flow diagram of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) process. Patient demographics ( Table 1 ) The 15 included studies contributed a total of 280 patients with 299 olecranon

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Olga D. Savvidou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Ioannis Papanastasiou First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Thomas Sarlikiotis First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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Aggelos Kaspiris Laboratory of Molecular Pharmacology/ Sector for Bone Research, School of Health Sciences, University of Patras, Patras, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ‘ATTIKON’ Hospital, Athens, Greece

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. Lenoble E Sergent A Goutallier D . Preoperative, intraoperative, and immediate postoperative skeletal scintigraphy to locate and facilitate excision of an osteoid osteoma of the coronoid process . J Shoulder Elbow Surg 1994 ; 3

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