Radial head fractures in adults

Harrison, John W.; Chitre, AP; Lammin, K.; Warner, James G.; Hodgson, Stephen

doi:10.1016/j.cuor.2006.10.003

Cited by 15 publications

(5 citation statements)

References 13 publications

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“…Comminuted fractures can occur after high energy falls and trauma. 4 According to the Mason classification, radial head fracture can be classified into 3 types: type I (nondisplaced radial head fracture), type II (marginal displacement), and type III (displaced head fracture with full radial head involved). 5 The classification was modified to include the extent of radial head and neck involvement.…”

Section: Introductionmentioning

confidence: 99%

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Shen

Chee

2016

J Orthop Surg (Hong Kong)

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Section: Introductionmentioning

confidence: 99%

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Shen

Chee

2016

J Orthop Surg (Hong Kong)

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“…This results in an axial load and a valgus force to the elbow that forces the radial head posteriorly while transmitting forces across the anterolateral rim of the radial head. The complexity of the fracture and the possible damage to the soft tissue structures is related to the energy of the fall and will guide treatment . Based on the characteristics of the injury, the treatment may be non‐operative or operative.…”

Section: Introductionmentioning

confidence: 99%

Radial head replacement with pyrocarbon prosthesis: early clinical results

Abdulla

Molony

Symes

et al. 2014

ANZ Journal of Surgery

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Background: Comminuted radial head fractures are challenging to treat with open reduction and internal fixation. Radial head arthroplasty is a favourable technique for the treatment of complex radial head fractures. The purpose of this study was to evaluate the functional and radiological outcomes of radial head arthroplasty using modular pyrocarbon radial head prosthesis. Methods: We retrospectively reviewed 21 consecutive patients requiring radial head arthroplasty for unreconstructible radial head fractures between July 2003 and July 2009. Patients completed a Short Form-36 (SF-36), the Disabilities of the Arm, Shoulder and Hand questionnaire, and the Mayo Elbow Performance Index. Patients were independently physically examined and their post-operative radiographs were reviewed. Results: Twenty-one patients (nine males and 12 females) were reviewed at a minimum of 12 months follow-up. The mean Disabilities of the Arm, Shoulder and Hand score was 10.8 (0-34.1), mean SF-36 physical score was 76.9 (35-96), mean SF-36 mental score was 83.8 (60-94), and their Mayo Elbow Performance Index score was 86.4 (70-100). Patients maintained 90% of their grip strength when compared with their uninjured arm and had 17.5°of fixed flexion in the affected arm. Radiologically, 14 cases had some degree of post-traumatic osteoarthritis, 12 cases had evidence of heterotrophic ossification, five had some evidence of periprosthetic lucency and three patients were radiologically, but not functionally 'overstuffed'. Conclusion: Radial head arthroplasty with pyrocarbon radial head prosthesis is an acceptable option when treating unreconstructable radial head fractures yielding good functional and radiological outcomes.

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“…There is a consensus that Mason type 1 fractures without mechanical block should be managed non-surgically with early active motion [5,12] . Good results have been reported in 86-100% patients with type 1 fractures [13] .…”

Section: Discussionmentioning

confidence: 99%

“…Studies of the optimal treatment of comminuted, unstable radial head fractures has been hindered by their relative infrequency and limited comparative data [6] . Radial head fractures usually result from a fall onto the outstretched hand with the elbow extended and forearm pronated [5] . Axial, valgus and postero-lateral rotational patterns of loading are responsible for these fractures [3] .…”

Section: Introductionmentioning

confidence: 99%

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Functional Outcomes of Fixation Versus Replacement for Comminuted Radial Head Fractures in Adults: A Systematic Review

Patel

Rashid

2016

International Journal of Orthopaedics

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AIM:The purpose of this systematic review was to search for and critically appraise articles directly comparing functional outcomes and complications for fixation (ORIF) versus arthroplasty for comminuted radial head fractures (Mason type 3) in adults. MATERIAL AND METHODS: A comprehensive search of Medline, Embase and Cochrane databases using specific search terms and limits was conducted. Strict eligibility criteria were applied to stringently screen resultant articles. Three comparative studies were identified and reviewed. RESULTS: Two studies found significantly better functional scores after replacement compared with ORIF in Mason type 3 fractures. The third study found no significant differences in functional score or range of motion, but did find that grip strength was better after ORIF. Complication rates were too heterogenous for conclusion. issn.2311-5106.2016.03.164 International Journal of Orthopaedics considered if this is not possible. Further randomised comparative trials are required to clarify the decision-making between fixation and replacement. Functional outcomes and complications were conflicting in the studies included here. Ideally, treatment decision should take into account elbow stability and degree of comminution.

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Radial head fractures in adults

Cited by 15 publications

References 13 publications

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Radial head replacement with pyrocarbon prosthesis: early clinical results

Functional Outcomes of Fixation Versus Replacement for Comminuted Radial Head Fractures in Adults: A Systematic Review

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