Ulna fixation

A method of ulna fixation for treating a fractured coronoid process of the proximal ulna, the method comprising:

• securing a substantially rigid plate with hooked features on its proximal aspect to the anterior aspect of the proximal ulna so that it extends proximally to capture the anterior aspect of the coronoid process of the proximal ulna with the hooked features;
• aligning a low-profile targeting guide with the first opening in the plate;
• forming a hole through the ulna connecting the posterior to anterior aspects of the proximal ulna;
• securing a flexible device to a first anchor;
• passing the first anchor with flexible device attached through a hole through the ulna from posterior to anterior, and a hole in the anteriorly placed plate;
• manipulating the first anchor so that it resists passing back through the plate;
• positioning a second anchor, coupled to the flexible device, on the posterior aspect of the ulna;
• and
• tensioning the flexible device.

A fractured proximal ulna fixation kit comprising:

• a substantially rigid, specifically contoured plate with hooked features to be secured to the anterior aspect of the proximal ulna with the hooked features capturing the most proximal/anterior aspect of the coronoid process of the proximal ulna, the plate having surfaces that define:
• a plurality of openings arranged along the length of the plate through which a flexible device and anchor or screws can pass;
• and
• a plurality of holes arranged along the width of the proximal end of the plate through which a flexible device can pass;
• and
• a plurality of holes arranged along the width of the proximal end of the plate through which screws can pass;
• a plurality of fastening devices adapted to pass through an opening in the plate to secure the plate to the anterior aspect of the proximal ulna;
• a plurality of anchors that can be positioned at a side of the plate opposite the ulna;
• a plurality of anchors that can be positioned on the posterior aspect of the proximal ulna;
• a plurality of flexible devices that can be extendable between an anchor positioned at a side of the plate opposite the ulna and an anchor positioned on the posterior aspect of the proximal ulna;
• a plurality of screws that can be passed through any of the second row of holes arranged along the width of the proximal end of the plate;
• a plurality of screws that can be inserted through the ulna, from posterior to anterior, and secured to the plate on the anterior aspect of the ulna;
• a plurality of flexible devices that can be passed through any of the first row of holes for securing the elbow capsule to the plate.