Comminuted fractures of the radial head treated by the Judet floating radial head prosthesis

Dotzis, A.; Cochu, G.; Mabit, C.; Charissoux, J.-L.; Arnaud, J.

doi:10.1302/0301-620x.88b6.17415

Cited by 78 publications

(59 citation statements)

References 19 publications

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“…When a radial head is irreparable, the radial head prosthesis is useful to restore elbow and forearm stability both in acute and in chronic lesions [21,22].…”

Section: Discussionmentioning

confidence: 99%

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

2010

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For the acute treatment of radial head fractures, radial head arthroplasty can be considered if open reduction and internal fixation is not technically possible and if simple radial head resection is contraindicated. We report our experience with a bipolar Judet radial head prosthesis. After a mean follow-up of 41.7 months, 16 patients were assessed following radial head replacement. The outcome was assessed clinically, functionally, and radiographically. Outcome was satisfactory in 87.5% of cases. The mean post-operative ranges of motion were greater than the functional arcs both in flexion-extension and in pronation-supination, and the results did not appear to be influenced in a significant way by the type of original lesion. All elbows were stable. The main complication was the development of heterotopic ossifications. Bipolar radial head prosthesis represents a suitable option for acute treatment of unreconstructable radial head fractures, either isolated or associated with elbow dislocation and in the absence of other bony lesions.

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“…When a radial head is irreparable, the radial head prosthesis is useful to restore elbow and forearm stability both in acute and in chronic lesions [21,22].…”

Section: Discussionmentioning

confidence: 99%

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

2010

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“…Options for treatment include nonoperative management [1,20], fragment or whole-head excision [6,15,21,24,30], open reduction and internal fixation (ORIF) [2,13,25,26,28], and radial head arthroplasty [7,8,10,14,[16][17][18]. In addition to the particular characteristics of the radial head fracture, associated injuries may influence treatment selection.…”

Section: Introductionmentioning

confidence: 99%

Open Reduction and Internal Fixation of Radial Head Fractures: Do Outcomes Differ Between Simple and Complex Injuries?

Pike

Grewal

Athwal

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Radial head fractures can occur in isolation or in association with elbow and forearm injuries. Treatment options include nonoperative management, fragment or whole-head excision, open reduction and internal fixation (ORIF), and radial head arthroplasty. However, the evidence supporting ORIF for repairable radial head fractures is inconclusive. Questions/purposes We compared patients undergoing ORIF for isolated radial head fractures or for radial head fractures associated with other fractures or elbow dislocations in terms of patient-related disability, presence of posttraumatic arthritis, complications, and rate of reoperation for capsular release. Methods Between 1997 and 2008, 52 patients underwent ORIF of the radial head for isolated radial head fractures (simple group) and 29 underwent ORIF for radial head fracture with an associated fracture or dislocation (complex group). General indications for ORIF included displaced radial fractures, large articular surface fragments, and greater than 2 mm of displacement and/or a mechanical block to forearm rotation or associated fractures or ligament injuries requiring surgery. Thirty-one patients (60%) in the simple group and 20 (69%) in the complex group were available for followup at a mean of 4 years (range, 1.0-9.5 years). We evaluated the patients using a validated self-reported pain and disability questionnaire (Patientrated Elbow Evaluation [PREE]). Records review included radiographic examination and assessment of major complications and secondary surgery rates for capsular release. Results With the numbers available, the groups were not different in terms of the mean PREE scores (8 versus 15 for the simple and complex groups, respectively; p = 0.13, lower values indicate lower pain and disability). The simple and complex groups were also not different with the numbers available in terms of major complications (13% versus 25%, respectively; p = 0.29) or secondary capsular release (3% versus 20%, respectively; p = 0.07). Conclusions At short term, we found no differences between patients treated with ORIF for isolated radial head fractures and those treated for radial head fractures in

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“…9 Los implantes bipolares no están exentos de esta complicación. 11,[25][26][27][28] En nuestra serie, se observó una cantidad importante de radiolucidez perivástago (moderada y grave en 6 casos), la mayoría asintomáticas, lo que coinciden con los estudios 11,29 Solo un caso con una prótesis cementada tenía un aflojamiento grave con mucho dolor y limitación funcional, y fue necesaria su extracción (Fig. 2).…”

Section: Discussionunclassified

Prótesis de cúpula monopolar en el tratamiento de fracturas y luxofracturas del radio

Gallucci¹,

Pereira²,

Boretto³

et al. 2014

Rev. Asoc. Arg. Ort. y Traumatol

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Re ci bi do el 2-10-2012. Acep ta do lue go de la eva lua ción el 14-11-2013. Co rres pon den cia:Dr. GERARDO GALLUCCI gerardo.gallucci@hospitalitaliano.orgRe su men Objetivo: Evaluar retrospectivamente los resultados clínicos y radiológicos de una serie consecutiva de pacientes con fracturas y luxofracturas de la cúpula radial a quienes se les realizó el reemplazo por una prótesis monopolar. MaterialesyMétodos: Se incluyeron 20 pacientes. Criterios de inclusión: <18 años, con fracturas o luxofracturas de la cúpula radial, tratados con prótesis monoblock de titanio y seguimiento mínimo de un año. Quince eran mujeres, edad promedio 59 años. Siete eran fracturas aisladas y 13, luxofracturas. Se evaluaron el grado de aflojamiento protésico, la erosión capitelar, el ensanchamiento del espacio articular humeral lateral y las calcificaciones heterotópicas. El seguimiento fue de 26 meses. Resultados: La flexo-extensión fue de 139º-5º y la pronosupinación, de 79-79°. El arco total fue de 134°. Fuerza de puño: 84% del lado contralateral. El dolor según la escala analógica visual fue de 2, DASH: 11 puntos, 13 resultados excelentes y 6 buenos. Se detectó aflojamiento del implante (12 casos), aumento de la radiolucidez capitelar (4 casos) y ensanchamiento del espacio ulnohumeral lateral (2 casos). Hubo 2 complicaciones: una neurodocitis cubital que debió ser operada y una extracción de implante por aflojamiento y dolor. Conclusiones: El reemplazo de la cúpula radial en lesiones no reconstruibles es una opción terapéutica viable, con buenos resultados funcionales a corto y mediano plazo. La recuperación de la estabilidad articular fue posible en todos los casos y el índice de aflojamiento protésico asintomático fue elevado.Palabrasclave: Cúpularadial.Prótesisdecúpula. Fracturaderadio.Luxofracturaderadio. Monopolarradialheadarthroplasty inthetreatmentoffractureandfracturedislocationsoftheradiusAbstract Objective: To retrospectively evaluate the clinical and radiological results of a consecutive series of patients with fracture and fracture-dislocations of the radius, treated with a monopolar radial head arthroplasty. Methods: Twenty patients were included. Inclusion criteria: <18 years old, with fracture and fracture-dislocations of the radius, treated with a titanium monopolar radial head arthroplasty and a minimun follow-up of one year. Fifteen were female, average age of 59 years old. Seven were isolated radial head fractures and 13 were fracturedislocations. Loosening of the implant, capitelar erosion, overstuffing and heterotopic ossification were evaluated. Average follow-up was 26 months. Results: Flexo-extension was 139°-5° and prono-supination 79°-79°. Total arc of motion was 134°. Grip strength was 84% of the contralateral side. Pain according to a visual analogue scale was 2, DASH: 11 points. Thirteen patients had excellent results and 6 good. Loosening of the implant (12 patients), capitelar erosion (4 patients) and overstuffing (2 patients) were detected. One patient had an ulnar neuropathy and he was operated on...

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Comminuted fractures of the radial head treated by the Judet floating radial head prosthesis

Cited by 78 publications

References 19 publications

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

The acute bipolar radial head replacement for isolated unreconstructable fractures of the radial head

Open Reduction and Internal Fixation of Radial Head Fractures: Do Outcomes Differ Between Simple and Complex Injuries?

Prótesis de cúpula monopolar en el tratamiento de fracturas y luxofracturas del radio

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