Long-Term Results of Radial Head Resection Following Isolated Radial Head Fractures in Patients Younger Than Forty Years Old

Antuña, Samuel; Sánchez-Márquez, José Miguel; Barco, Raúl

doi:10.2106/jbjs.i.00332

Cited by 144 publications

(90 citation statements)

References 24 publications

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“…We favor resection over reconstruction in severely comminuted radial head fractures where anatomical fixation cannot be achieved. This is in accordance with multiple studies which concluded that resection of radial head provided satisfactory pain relief and functional range of motion [17][18][19][20][21][22][23]. In our study 80% patients returned to their previous occupation regardless of procedure done.…”

Section: Discussionsupporting

confidence: 93%

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Meena¹,

Gaba²,

Bobade³

et al. 2017

BEAT

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Objective:To compare the short-term functional outcome between resection and reconstruction in Mason Type II and Type III radial head fractures using Broberg and Morrey score. Methods: A prospective cohort study was conducted in the Department of Orthopedic Surgery of SMS Medical College and attached Hospitals. A total of 29 patients (15 in resection group, 14 in reconstruction group) between the age group of 20-60 years with Mason Type II and Type III fresh closed radial head fractures were included in the study. The functional outcome including the range of motion, extension lag and Broberg Morrey score were determined and compared between two groups. Results: The mean age of resection group was 44.5±6.6 years and mean age of reconstruction group was 37.1±6.2 years. The baseline characteristics . At 12-months follow-up, in Mason type II fracture, radial head reconstruction group with mean extension lag of 9.4±4.1 and mean Broberg Morrey score of 94.9±5.1 showed better results compared to radial head resection group with mean extension lag of 15.7±4.1 (p=0.022) and mean Broberg Morrey score of 88.3±5.1 (p=0.045) respectively. In Mason type III fractures, radial head resection with mean supination of 79.4±4.7, mean pronation of 74.4±4.1 and mean Broberg Morrey score of 89.8±6 showed better results when compared with radial head reconstruction group with mean supination of 64.2±4 (p<0.001), mean pronation of 59.2±8.4 (p=0.003) and mean Broberg Morrey score of 81.9±5 (p=0.031). Conclusion:The procedure suggested in Mason type II, is reconstruction of radial head. In Mason type III due to difficulty in achieving anatomical reduction results were not good with reconstruction when compared with resection. We recommend radial head excision in Mason type III fractures where anatomical and stable fixation is not possible.

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Section: Discussionsupporting

confidence: 93%

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Meena¹,

Gaba²,

Bobade³

et al. 2017

BEAT

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“…Common treatment options of Mason type III fractures are osteosynthesis, radial head resection and prosthetic replacement. Radial head resection leads to predominantly good results in stable elbows without further concomitant lesions [1]. An incorrect indication for resection will lead to persistent valgus, longitudinal forearm instability and other secondary symptoms [1,12,13,25].…”

Section: Introductionmentioning

confidence: 99%

Monobloc radial head prostheses in complex elbow injuries: results after primary and secondary implantation

Katthagen

Jensen

Lill

et al. 2012

International Orthopaedics (SICOT)

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Purpose Dislocations of components, loosening of the stem, overstuffing and removal in up to 24 % of common radial head prostheses (RHP) after implantation in complex elbow injuries signal the need for improvement. The latest biomechanical evidence shows advantages for monopolar designs. Clinical results after primary and secondary implantation of the newly designed press-fit monobloc monopolar RHP in cases of complex elbow injury are evaluated. Methods Twenty-nine patients [median age 60 years (29-86)] were followed up retrospectively for a median of 25 months (7-54) post-operatively. Subjective parameters, the Mayo Elbow Performance Score (MEPS), the Broberg and Morrey score (BMS), latest radiographs and complications were evaluated. Results MEPS and BMS averaged 87.2±12.9 and 81.1±11.9 points, respectively. No case of implant loosening was observed; the RHP had to be removed in one case (3 %). The overall complication and revision rate was higher after secondary (53 %) than after primary (19 %) implantation. Conclusions Satisfactory clinical results and low short-term removal rates emphasise the practicality of monobloc monopolar RHP. Differentiated treatment of complex elbow fracturedislocations is compulsory to avoid the need for secondary RHP implantation which carries a higher complication rate.

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“…Our results are supported by a study conducted by Karlsson et al [8] that evaluated isolated comminuted radial head fractures; this study found that the mean range of motion deficit in the elbow was 5°-10°. In addition, good to excellent results according to the Mayo Elbow Performance Index were reported by Antuña et al [9] in a review of 26 patients treated with primary radial head excision who were followed up for a minimum of 15 years. However, Swanson et al [24] presented a clear sequence of events when a loss of radiocapitellar contact resulted in lateral elbow instability, arthritis, loss of strength and motion, and ulnar nerve symptoms.…”

Section: Discussionmentioning

confidence: 91%

“…[5,6] Although biological treatment modalities, such as conservative methods and open reduction and internal fixation, are first-choice treatments, [7] especially for Mason Type-III fractures, the optimum treatment method remains controversial. [5,6] Results of radial head resection (RHR) [8,9] and radial head prosthesis…”

mentioning

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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Long-Term Results of Radial Head Resection Following Isolated Radial Head Fractures in Patients Younger Than Forty Years Old

Abstract: Radial head resection in young patients with isolated fractures without instability yields long-term satisfactory results in >90% of cases. Osteoarthritic changes are uniformly present but typically are not associated with functional impairment.

Cited by 144 publications

References 24 publications

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Monobloc radial head prostheses in complex elbow injuries: results after primary and secondary implantation

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

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