Fractures of the Radial Head and Neck Treated With Radial Head Excision

Herbertsson, Pär; Josefsson, Per Olof; Hasserius, Ralph; Besjakov, Jack; Nyqvist, Fredrik; Karlsson, Magnus K.

doi:10.2106/00004623-200409000-00010

Cited by 147 publications

(120 citation statements)

References 20 publications

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“…This is pertinent information given the uncertainty about the optimal treatment for nonreconstructable radial head fractures. Simple excision is associated with proximal migration of the radius, wrist pain, grip weakness, and ulnohumeral arthrosis [2,11,15,22]. Absence of the radial head also increases elbow instability [2].…”

Section: Discussionmentioning

confidence: 99%

Is a Silastic Radial Head Still a Reasonable Option?

Maghen

Leo

Hsu

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background The importance of the radial head to elbow function and stability is increasingly apparent. Although preservation of the native radial head is preferred, severely comminuted fractures may necessitate resection or arthroplasty. Silastic radial head arthroplasty has been condemned on the basis of several sporadic reports of silicone synovitis. However, problems of ''overstuffing,'' cartilage wear, and motion loss are becoming apparent with metal prostheses, indicating this also is not an ideal solution. Thus, the choices remain controversial. Questions/purposes We asked whether intact or reconstructed primary elbow stabilizers permit use of silastic radial head implants without fragmentation, failure, and silicone synovitis. Methods We retrospectively reviewed 23 patients with unreconstructable radial head fractures who were treated with silastic radial head arthroplasty and concomitant repair and/or reconstruction of the medial ulnar collateral ligament and/or lateral ulnar collateral ligament. Analysis included range of motion, pain, stability, and radiographic assessments; Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire; and Mayo Elbow Performance Score (MEPS). The minimum followup was 16 months (average, 69.6 months; range, 16-165 months). Results At last followup, the mean elbow flexion was 145°, extension 11°, supination 80°, and pronation 83°. The mean MEPS score was 88.9. The mean DASH score was 11.8. There were eight reoperations, none resulting from failure of the radial head implants. Conclusions These results demonstrate silastic radial heads can be used with low complication rates and without evidence of synovitis when concomitant elbow ligament repair or reconstruction is performed.

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Section: Discussionmentioning

confidence: 99%

Is a Silastic Radial Head Still a Reasonable Option?

Maghen

Leo

Hsu

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…In terms of RHR, it has been reported that 55% patients encountered restrictions in their daily life, and 36% experienced limitations at work. [25] Herbertsson et al [26] suggested that, if the initial attempt to save the radial head caused unfavorable results, a delayed excision may be performed.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Functional Results of Radial Head Resection and Prosthesis for Irreparable Mason Type III Fracture

Ünlü¹,

Güven²,

Aslan³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:The radial head is essential for the rotational stability of the forearm and resistance to valgus stress. Radial head fractures are the most common elbow fracture in adults. Various treatment options are available, depending on the fracture severity. However, the treatment of Type-III fractures is controversial. The aim of this study was to evaluate functional results in patients with irreparable Mason Type-III radial head fractures treated with radial head resection or prosthesis.

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“…In früheren Arbeiten wurde der Radiuskopf auch als entbehrlich beschrieben, jedoch weisen jüngere Untersuchungen ganz klar auf seine wesentliche Bedeutung als Sta bilisator des Ellenbogens und der Unter armgelenke hin [9,16]. In diesem Zusam menhang zeigte sich, dass die primäre Ra diuskopfresektion mit Langzeitkomplika tionen, wie beispielsweise Schmerzen, Ge lenkinstabilität, proximale Translation des Radius, reduzierte Kraft im Unterarm, er höhtes Osteoarthroserisiko und Valgus fehlstellungen im Ellenbogen, assoziiert sein kann [11,16,23].…”

Section: Versorgung Während Das Management Von Einfachen Frakturen Iunclassified

“…Radiuskopffrakturen des Er wachsenen sind relativ häufige Verlet zungen (zwischen 1,5 und 4% aller Frak turen) und betreffen 33% aller Ellenbo genfrakturen [3,5,11,13]. …”

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