Mason type III radial head fractures treated by anatomic radial head arthroplasty: Is this a safe treatment option?

Tarallo, Luigi; Mugnai, Raffaele; Rocchi, Martina; Capra, Francesco; Catani, Fabio

doi:10.1016/j.otsr.2016.10.017

Cited by 37 publications

(31 citation statements)

References 47 publications

(58 reference statements)

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“…Type i fractures account for about 82% of injuries and are treated conservatively. The indications for surgical treatment are fractures of ii-iV type with the displacement of fragments, limitation of mobility, and elbow instability [1,12,17,18]. Factors that influence the decision to implant a radial head prosthesis include a large number of fractured fragments (more than 3 fragments), the risk of osteonecrosis after osteosynthesis, fracture of the head associated with dislocation within the radial-ulnar joint, and the patient's age (in younger patients, osteosynthesis of the broken head is preferred) [1,8,12,14].…”

Section: Discussionmentioning

confidence: 99%

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Rehabilitation protocol after radial head arthroplasty – a single centre experience and narrative review of the literature

Prostak¹,

Olchowy²,

Paprocka−Borowicz³

2018

Physiother Quart.

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Radial head fractures are relatively common injuries -they represent about 1.5-4% of all fractures and approximately 1/3 of fractures of the elbow. Nevertheless, treatment algorithms and rehabilitation plans in such injuries still remain controversial. one of the treatment methods is arthroplasty of the radial head. it is suitable for patients classified as ii or iii Mason type with concomitant instability and limited mobility of the elbow joint. Arthroplasty of the radial head aims at restoring joint stability, as well as early mobilization and rehabilitation. Currently in Poland, 200-250 alloplastic implantations of the radial head are performed per year (according to the Central database of Arthroplasties) and this number is increasing annually. Consequently, physicians and physiotherapists may face that problem more frequently than only several years ago in their everyday clinical practice. For patients who underwent this type of surgery, there exists no unified, widely accepted rehabilitation protocol, neither in Poland nor worldwide. it has been proven that rehabilitation plays an important role in restoring the functioning of patients after arthroplasty of the radial head; however, it is difficult to find scientific reports and studies with therapeutic schemes that would provide guidelines for physiotherapy, active exercises, manual therapy, and muscle strength improving exercises. The aim of this review is to analyse and compare information about rehabilitation process after surgery of proximal radius that is available in the literature.The authors also present their own experience and results. Key words: radial head fracture, radial head arthroplasty, rehabilitation protocol, elbow injury

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Section: Discussionmentioning

confidence: 99%

“…The selection of the correct diameter of the head implant, its height, and its correct axial alignment is important for the end result of the treatment [17,20].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation protocol after radial head arthroplasty – a single centre experience and narrative review of the literature

Prostak¹,

Olchowy²,

Paprocka−Borowicz³

2018

Physiother Quart.

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“…The increased rate of loosening in short-stemmed designs in Group I constituted a confounding bias for the analysis of painful loosening. 39 Laumonerie et al 39 Popovic et al 75 Moro et al 10 Harrington et al 74 Brinkman et al 73 Grewal et al 72 Chapman et al 71 Dotzis et al 70 Wretenberg et al 69 Popovic et al 40 Doornberg et al 68 Lim et al 67 Shore et al 66 Fehringer et al 65 Burkhart et al 41 Celli et al 64 Lamas et al 63 Maghen et al 62 Muhm et al 61 Ha et al 60 Rotini et al 59 Kattahagen et al 58 Zunkiewicz et al 57 Ricon et al 56 Sarris et al 55 El sallakh et al 54 Berschback et al 53 Allavena et al 52 Mou et al 51 Laun et al 50 Abdulla et al 49 Heijink et al 48 Kodde et al 47 Levy et al 46 Marsh et al 42 Moghaddam et al 45 Gauci et al 44 Tarallo et al 43 Minimum follow-up (yrs) Active and passive range of movement lim ited after radial head arthroplasty Persistent pain in t he proximal rad ial aspect of the forearm associated w ith capitell ar osteopenia, capitellar erosion or prosthesis overstuffing IV Persistent cl inical instability 11.25 Cl inical instability confïrmed by the posterolateral rotatory apprehension test speculated that difficulties in obtaining satisfactory stability when using short stemmed bipolar implants (cH ead RECON prosthesis; Stryker-Small Bone I...…”

Section: Discussionmentioning

confidence: 99%

The minimum follow-up required for radial head arthroplasty

Laumonerie

Reina

Kerezoudis

et al. 2017

The Bone & Joint Journal

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“…RHR is indicated in cases of unreconstructable isolated radial head fractures and complex elbow injuries such as elbow fracture-dislocation, terrible triad injuries, Monteggia fractures, or Essex-Lopresti lesions [ 2 ]. Although RHR produces satisfactory outcomes [ 12 , 13 ], several studies have reported that it has a high percentage of complications and a higher risk of requiring reoperation [ 14 - 16 ]. With these distinct benefits and risks, it remains to be determined whether RHR should become the primary treatment for complex radial head fractures.…”

Section: Introductionmentioning

confidence: 99%

Short- to mid-term outcomes of radial head replacement for complex radial head fractures

Baek

Kim

et al. 2020

Clin Shoulder Elbow

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Background: The purpose of the current study was to investigate short- to mid-term outcomes and complications following radial head replacement (RHR) for complex radial head fractures and to identify factors associated with clinical outcomes.Methods: Twenty-four patients with complex radial head fractures were treated by RHR. The mean age of the patients was 49.8 years (range, 19–73 years). Clinical and radiographic outcomes were evaluated for a mean follow-up period of 58.9 months (range, 27–163 months) using the visual analog scale (VAS) score for pain, the Mayo elbow performance score (MEPS), the quick disabilities of the arm, shoulder and hand (Quick-DASH) score, and serial plain radiographs. Complications were also evaluated. Results: At the final follow-up, the mean VAS score, MEPS, and Quick-DASH score were 0.6±1.1, 88.7±11.5, and 19.4±7.8, respectively. The mean range of motion was 132.7o of flexion, 4.7o of extension, 76.2o of pronation, and 77.5o of supination. Periprosthetic lucency was observed in six patients (25%). Heterotopic ossification was observed in four patients (16.7%). Arthritic change of the elbow joint developed in seven patients (29.2%). Capitellar wear was found in five patients (20.8%). Arthritic change of the elbow joint was significantly correlated with MEPS (P=0.047). Four cases of complications (16.6%) were observed, including two cases of major complications (one stiffness with heterotopic ossification and progressive ulnar neuropathy and one stiffness) and two cases of minor complications (two transient ulnar neuropathy).Conclusions: RHR for the treatment of complex radial head fractures yielded satisfactory short- to mid-term clinical outcomes, though radiographic complications were relatively high.

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Mason type III radial head fractures treated by anatomic radial head arthroplasty: Is this a safe treatment option?

Abstract: Therapeutic IV.

Cited by 37 publications

References 47 publications

Rehabilitation protocol after radial head arthroplasty – a single centre experience and narrative review of the literature

Rehabilitation protocol after radial head arthroplasty – a single centre experience and narrative review of the literature

The minimum follow-up required for radial head arthroplasty

Short- to mid-term outcomes of radial head replacement for complex radial head fractures

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