Early excision of the radial head for fracture

Jalovaara, P.

doi:10.1007/s002640000134

Cited by 34 publications

(26 citation statements)

References 19 publications

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“…We favor resection over reconstruction in severely comminuted radial head fractures where anatomical fixation cannot be achieved. This is in accordance with multiple studies which concluded that resection of radial head provided satisfactory pain relief and functional range of motion [17][18][19][20][21][22][23]. In our study 80% patients returned to their previous occupation regardless of procedure done.…”

Section: Discussionsupporting

confidence: 93%

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Meena¹,

Gaba²,

Bobade³

et al. 2017

BEAT

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Objective:To compare the short-term functional outcome between resection and reconstruction in Mason Type II and Type III radial head fractures using Broberg and Morrey score. Methods: A prospective cohort study was conducted in the Department of Orthopedic Surgery of SMS Medical College and attached Hospitals. A total of 29 patients (15 in resection group, 14 in reconstruction group) between the age group of 20-60 years with Mason Type II and Type III fresh closed radial head fractures were included in the study. The functional outcome including the range of motion, extension lag and Broberg Morrey score were determined and compared between two groups. Results: The mean age of resection group was 44.5±6.6 years and mean age of reconstruction group was 37.1±6.2 years. The baseline characteristics . At 12-months follow-up, in Mason type II fracture, radial head reconstruction group with mean extension lag of 9.4±4.1 and mean Broberg Morrey score of 94.9±5.1 showed better results compared to radial head resection group with mean extension lag of 15.7±4.1 (p=0.022) and mean Broberg Morrey score of 88.3±5.1 (p=0.045) respectively. In Mason type III fractures, radial head resection with mean supination of 79.4±4.7, mean pronation of 74.4±4.1 and mean Broberg Morrey score of 89.8±6 showed better results when compared with radial head reconstruction group with mean supination of 64.2±4 (p<0.001), mean pronation of 59.2±8.4 (p=0.003) and mean Broberg Morrey score of 81.9±5 (p=0.031). Conclusion:The procedure suggested in Mason type II, is reconstruction of radial head. In Mason type III due to difficulty in achieving anatomical reduction results were not good with reconstruction when compared with resection. We recommend radial head excision in Mason type III fractures where anatomical and stable fixation is not possible.

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Section: Discussionsupporting

confidence: 93%

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Meena¹,

Gaba²,

Bobade³

et al. 2017

BEAT

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“…1,11,20 A number of clinical studies have documented a high incidence of arthritis following radial head excision which, although not reported to date, can also be expected following excision of the capitellum. 12,[14][15][16] Some weaknesses exist in this study. The sample size was small (n ¼ 8), but it was enough to detect major changes in kinematics between excisions.…”

Section: Discussionmentioning

confidence: 93%

Effect of coronal shear fractures of the distal humerus on elbow kinematics and stability

Sabo¹,

Fay²,

McDonald³

et al. 2010

Journal of Shoulder and Elbow Surgery

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“…Excision of the radial head for fracture has a high complication rate [10]. Several significant complications are associated with radial head excision such as symptoms at the wrist, increased elbow valgus, degenerative arthritis, and so on [2].…”

Section: Introductionmentioning

confidence: 99%

A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III

Ruan¹,

Fan²,

Liu³

et al. 2007

International Orthopaedics (SICO

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Although several treatment options for radial head fractures are available, no clear solutions exist. In this study we therefore compare open reduction and internal fixation (ORIF) with bipolar radial head prosthesis replacement in treatment of radial head fractures of Mason type III. Cement stem and bipolar radial prosthesis were used to treat 12 fresh cases and two old cases of Mason type III radial head fracture. As a control group, another eight cases of radial head type III fracture were treated with ORIF with cannulated screws and Kirschner (K) wires. The 14 patients who received radial head prosthesis replacement were followed-up for 15.9 months (range 10-27 months). According to elbow functional evaluation criteria by Broberg and Morrey, we found excellent results in nine cases, good in four, and fair in one. Mean follow-up of the eight cases in the ORIF group was 14 months (range 10-21 months), with good results in one case, fair in four, and poor in three. The result was good or excellent in 92.9% of prosthesis replacement patients and in 12.5% of ORIF patients. This difference is statistically significant (P=0.0004; Fisher's exact test). We concluded that bipolar radial head prosthesis replacement is better than ORIF in treatment of Mason type III radial head fracture.

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Early excision of the radial head for fracture

Cited by 34 publications

References 19 publications

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Effect of coronal shear fractures of the distal humerus on elbow kinematics and stability

A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III

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