Ulna fracture
Ulna fracture

Osteosynthesis for ulna fracture

An ulna fracture primarily affects the function of the elbow joint and the stability of the forearm. With this type of injury, patients often experience not only pain but also impaired flexion and extension of the arm, reduced strength, and difficulty performing everyday movements. The ulna plays a key role in load transmission and coordination of arm motion, so even minor displacement of bone fragments can significantly impact upper limb function.

Osteosynthesis for an ulna fracture is indicated when the injury is accompanied by displacement, instability, or a risk of improper healing. In such cases, conservative treatment may not provide sufficient stability and can result in long-term motion limitations. During surgery, precise alignment of bone fragments is performed, followed by stable fixation, allowing restoration of the bone’s anatomy and creating optimal conditions for controlled healing.

We take into account the fracture pattern, the condition of the elbow joint, and the functional demands placed on the arm. Our goal is not only to achieve bone union but also to preserve coordinated movement, enabling the patient to confidently use the arm in daily activities and under load without pain or a sense of instability.

Clinical features of an ulna fracture

Ulna fractures are characterized by the fact that even minor displacement can significantly affect forearm mechanics and elbow joint function. The ulna contributes to arm support and stabilization during flexion and extension, so disruption of its anatomy often results in decreased movement precision and discomfort under load. In some cases, an ulna fracture involves the articular surface or is associated with ligamentous injury, requiring a more carefully considered treatment strategy.

Particular attention in such fractures is given to preserving the correct forearm axis and elbow stability. Disruption of these parameters may lead to limited range of motion, rapid stiffness development, and chronic pain. We assess the fracture pattern, the degree of displacement, and the overall impact on upper limb function to select a solution that maintains mobility and coordinated arm movement in the long term.

Clinical features of an ulna fracture
Stability and movement control after an ulna fracture

Stability and movement control after an ulna fracture

In an ulna fracture, the outcome of treatment largely depends on how stable and well-controlled the elbow joint functions after bone healing. Even with satisfactory radiographic results, instability or reduced movement control may cause discomfort under load, rapid arm fatigue, and limitations in everyday activities. For the elbow joint, it is especially important to preserve precise flexion and extension without a sense of “giving way” or insecurity.

After osteosynthesis, attention is focused not only on restoring the range of motion but also on the quality of movement. We aim for the gradual return of strength, coordination, and stability during daily activities. Excessive fixation or, conversely, premature overload can negatively affect function, so recovery is structured step by step under supervision.

We support the patient throughout the rehabilitation phase, assessing how the elbow joint tolerates load and repetitive movements. This approach helps reduce the risk of chronic pain, maintain movement control, and restore confidence in arm function without persistent limitations.

Stages of treatment

Online consultation
01

Online consultation

An online consultation allows you to discuss your condition, complaints, and symptoms in advance. You can submit imaging studies and medical documents, ask questions, and receive a preliminary treatment plan before visiting the clinic.

Examination and 3D surgical planning
02

Examination and 3D surgical planning

All necessary examinations are performed within one day. A CT scan of the joint is conducted, followed by computer-based 3D surgical planning and implant selection to ensure maximum precision.

Surgery
03

Surgery

On the second day of the clinic stay, the surgical procedure is performed. Original implants by Stryker Corporation (USA) and the MAKO robotic-assisted system are used, ensuring a high level of precision in implant positioning.

Rehabilitation and follow-up
04

Rehabilitation and follow-up

Recovery begins immediately after surgery. In most cases, you will be able to start walking on the day of the procedure. After discharge, we continue to provide online follow-up care, including recovery guidance, rehabilitation monitoring, and answers to any questions that may arise.

The surgery is performed personally by Zaur Sulumov

The doctor is personally involved in every stage of treatment — from the initial consultation and surgical planning to recovery monitoring and outcome evaluation.

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FAQ

The duration depends on the type of fracture and the fixation method. On average, surgery lasts from 30 to 120 minutes. In complex or comminuted fractures, operative time may be longer.

The timing of weight-bearing depends on the fracture location and stability of fixation. In some cases, movement is allowed within the first days after surgery, while full weight-bearing depends on the fracture type. For intra-articular fractures, a forced pause of 4–8 weeks may be required, with gradual progression under medical supervision and follow-up X-rays.

There is no pain during the operation due to anesthesia. After surgery, discomfort is managed with a modern pain-control protocol and typically decreases as the fracture heals.

Not always. Implants from leading manufacturers are commonly used, and in most cases plates and screws can remain in the body permanently. Removal is considered individually if there is discomfort or specific medical indications.

Average bone healing time ranges from 6 to 12 weeks, but this may vary depending on the patient’s age, fracture type, and overall health condition.

Rehabilitation focuses on restoring movement, muscle strength, and limb function. The program is individualized and may include physical therapy, physiotherapy, and gradual increase of load.

Not all fractures require surgical treatment. However, in cases of fragment displacement, instability, or risk of improper healing, osteosynthesis ensures accurate alignment and improves the functional outcome.

Surgery costs from $4,700