Arthroplasty with a Metal Radial Head for Unreconstructible Fractures of the Radial Head

Moro, Jaydeep; Werier, Joel; MacDermid, Joy C.; Patterson, Stuart D.; King, Graham J.W.

doi:10.2106/00004623-200108000-00010

Cited by 296 publications

(179 citation statements)

References 20 publications

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“…Radial head arthroplasty has been shown to be a reliable technique for reconstruction of the radial head [8,16]. While potentially confounded by the fact that the radial head fractures selected for arthroplasty tend to result from higher-energy injuries with more comminution, the radial head prostheses interestingly were more stable and had a greater ROM when compared to ORIF.…”

Section: Discussionmentioning

confidence: 99%

Fixation Versus Replacement of Radial Head in Terrible Triad: Is There a Difference in Elbow Stability and Prognosis?

Watters

Garrigues

Ring

et al. 2014

Clinical Orthopaedics &Amp; Related Research

110

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Background Surgical treatment for terrible triad injuries of the elbow (defined as elbow dislocations with concomitant fractures of the radial head and coronoid) remains a challenging clinical problem. Specifically, the question of whether to repair or replace the radial head remains controversial. Questions/purposes We compared patients with terrible triad injuries of the elbow whose radial head fracture was treated with either internal fixation and internal fixation (ORIF) or radial head arthroplasty in terms of (1) clinical outcome measures (DASH and Broberg-Morrey scores, ROM), (2) elbow stability and radiographic signs of arthrosis, and (3) complications and reoperation rates. Methods Retrospective review identified 39 patients with terrible triad injuries and minimum 18-month complete clinical and radiographic followup (mean, 24 months; range, 18-53 months). Patients were managed with a standard algorithm consisting of (1) repair (n = 9) or replacement (n = 30) of the radial head, (2) repair of the lateral ulnar collateral ligament, and (3) repair of the coronoid fracture. During the study period, the radial head generally was internally fixed when there were fewer than four articular fragments; otherwise, it was replaced. Evaluation included the DASH score, the Broberg-Morrey index, measurements of elbow stability and motion, and radiographic assessment for signs of arthrosis; chart review was performed for complications and reoperations. Complete followup was available on 87% (39 of 45 patients).

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Section: Discussionmentioning

confidence: 99%

Fixation Versus Replacement of Radial Head in Terrible Triad: Is There a Difference in Elbow Stability and Prognosis?

Watters

Garrigues

Ring

et al. 2014

Clinical Orthopaedics &Amp; Related Research

110

View full text Add to dashboard Cite

show abstract

“…Bipolar radial head prosthesis can be effective as a solid monoblock prosthesis in restoring valgus stability in a MCL damage elbow [19,24]. Arthroplasty with metal radial head implant was found to have been an effective treatment option for patients with unreconstructable radial head fracture [8,10,15]. However, pyrocarbon radial head replacement is not free from complications.…”

Section: Discussionmentioning

confidence: 99%

Comminuted Radial Head Fractures Treated with Pyrocarbon Prosthetic Replacement

Lamas

Castellanos

Proubasta

et al. 2010

Hand (New York, N,Y.)

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“…It is accepted a concurrent ligament injury with a badly comminuted radial head is the ideal indication of prosthetic replacement [8,12,13,30,37]. Data exist to suggest a comminuted radial head fracture with an associated medial collateral ligament lesion should be addressed by open reduction and internal fixation or, if this is not possible, by prosthetic replacement of the radial head [7,8,18,21,24,27]. If there are no additional injuries, resection still is considered appropriate management by some [2,15,19,42].…”

Section: Discussionmentioning

confidence: 99%

Documentation of Associated Injuries Occurring With Radial Head Fracture

Riet

Morrey

2008

Clinical Orthopaedics &Amp; Related Research

139

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We believe a better way is needed to accurately describe the spectrum of associated injuries that commonly occur in conjunction with a radial head fracture. A review of our institution's experience with 333 radial head fractures from 1997 to 2002 documented 88 (26%) associated injuries. Based on this clinical experience, our goal was to develop an accurate and comprehensive description of associated injuries. A shorthand suffix method first recognizes the type of radial head fracture with the traditional Mason classification, followed by abbreviations designating the articular injuries, coronoid (c) and olecranon (o), and the ligamentous injuries, lateral collateral ligament (l), medial collateral ligament (m), and distal radioulnar joint (d). The proposed system offers a logical and reproducible (98%) extension of the current Mason fracture classification to document the presence of additional articular and ligamentous injuries. This provides an opportunity to standardize the communication of fracture type with further details of other injuries that ultimately can help with better understanding of treatment outcome based on the precise injury complex.

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Arthroplasty with a Metal Radial Head for Unreconstructible Fractures of the Radial Head

Cited by 296 publications

References 20 publications

Fixation Versus Replacement of Radial Head in Terrible Triad: Is There a Difference in Elbow Stability and Prognosis?

Fixation Versus Replacement of Radial Head in Terrible Triad: Is There a Difference in Elbow Stability and Prognosis?

Comminuted Radial Head Fractures Treated with Pyrocarbon Prosthetic Replacement

Documentation of Associated Injuries Occurring With Radial Head Fracture

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