On-table reconstruction of comminuted fractures of the radial head

Businger, Adrian; Rüedi, Thomas; Sommer, Christoph

doi:10.1016/j.injury.2009.10.026

Cited by 48 publications

(39 citation statements)

References 26 publications

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“…Despite achieving satisfactory clinical outcomes, performing radial head resection arthroplasty as the initial method for treating Mason type III radial head fractures is no longer acceptable, especially in view of the latest encouraging studies on ORIF and radial head arthroplasty for this type of fracture. 2,[8][9][10][18][19][20] The possibility of proximal migration of the radius and an increase in the carrying angle also must be considered. Osteoarthritic changes in both the elbow and wrist are frequent radiographic consequences of the excision procedure; however, these complications often are without functional impairment.…”

Section: Resultsmentioning

confidence: 99%

Resection Arthroplasty for Mason Type III Radial Head Fractures Yield Good Clinical but Poor Radiological Results in the Long Term

Yalçınkaya¹,

Bagatur²,

Erdoğan³

et al. 2013

Orthopedics

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Long-term clinical and radiographic outcomes of primary resection for Mason type III radial head fractures were evaluated in 13 patients (14 elbows) with a mean age of 38.8 years (range, 20-67 years) at the time of surgery. All patients had isolated radial head fractures without associated injuries. Mean follow-up was 14.7 years (range, 9-26 years). Proximal migration of the radius and the carrying angle were measured, and radiographs were reviewed for degenerative elbow and wrist arthritis and periarticular ossification. Five results were excellent and 9 were good. In 8 cases, the radii had migrated proximally and the carrying angle had increased an average 6.3°; the increases in both ulnar variance and the carrying angle were significant, and a significant negative correlation was found between the carrying angles and the clinical scores. Degenerative changes occurred in 8 elbows and 4 wrists, and periarticular heterotopic ossification was present in 3 elbows. Despite the satisfactory long-term outcomes, radial head resection resulted in proximal migration of the radius and an increase in the carrying angle; in addition, osteoarthritic changes in both elbows and wrists as well as periarticular heterotopic ossification were frequent findings without pronounced functional impairment.

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Section: Resultsmentioning

confidence: 99%

Resection Arthroplasty for Mason Type III Radial Head Fractures Yield Good Clinical but Poor Radiological Results in the Long Term

Yalçınkaya¹,

Bagatur²,

Erdoğan³

et al. 2013

Orthopedics

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show abstract

“…In contrast, more recent studies have reported good outcome for ORIF of comminuted radial head fractures without radial head necrosis, secondary loss of fixation, or nonunion. [2][3][4][5][6][7] A common complication of plate osteosynthesis is soft tissue irritation. 3,8,9 In recent years, many new plates especially designed for the treatment of radial head fractures have been developed.…”

mentioning

confidence: 99%

“…good results have been reported for ORIF of comminuted radial head fractures without occurrence of radial head necrosis, nonunion, or secondary loss of reduction [2][3][4]6,7,17. However, soft tissue irritation caused by bulky implants has been reported, mostly with plating.…”

mentioning

confidence: 99%

Anatomic Fit of Six Different Radial Head Plates: Comparison of Precontoured Low-Profile Radial Head Plates

Burkhart

Nowak

Kim

et al. 2011

The Journal of Hand Surgery

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“…61,62 In the current literature, several papers have been published regarding the results of ORIF for comminuted radial head fractures with mostly good outcomes. 37,[63][64][65] What had once been common complications, such as secondary loss of fixation, implant failure, nonunion, and radial head necrosis, were not relevant issues in these cohorts at short-term followup. Burkhart and colleagues 66 experience with a low-profile locking radial head plate revealed good results in 18 of 21 subjects.…”

Section: Mason III and Ivmentioning

confidence: 84%