Open Reduction and Internal Fixation Compared With Excision for Unstable Displaced Fractures of the Radial Head

Lindenhovius, Anneluuk L.C.; Felsch, Quinten; Doornberg, Job N.; Ring, David; Kloen, Peter

doi:10.1016/j.jhsa.2007.02.016

Cited by 95 publications

(69 citation statements)

References 30 publications

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“…Mason's classification is commonly used to classify radial head fractures [1]. Simple fractures (Mason I) with or without minimal displacement are treated conservatively, while type II fractures are usually treated operatively [8][9][10][11]. Surgical options for the treatment of comminuted radial head fractures (Mason III and IV) are, however, controversial [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Radial head arthroplasty with an uncemented modular metallic radial head prosthesis: short- and mid-term results

Muhm

Castro

Winkler

2010

Eur J Trauma Emerg Surg

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Radial head arthroplasty with the EVOLVE™ prosthesis gave good results in terms of objective physical outcome and outcome scores at short- and mid-term follow-up. Periprosthetic lucency does not affect the outcome negatively. We assume that periprosthetic lucency does not necessarily imply prosthesis loosening in which revision is required. Radiological findings and the severity of the initial injury do not necessarily correlate with results.

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Section: Introductionmentioning

confidence: 99%

Radial head arthroplasty with an uncemented modular metallic radial head prosthesis: short- and mid-term results

Muhm

Castro

Winkler

2010

Eur J Trauma Emerg Surg

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“…11 At an average of 17 years follow-up, the authors noted that 8 patients in the excision cohort had developed arthrosis, compared with only 2 patients in the osteosynthesis group.…”

Section: Recommendationsmentioning

confidence: 99%

Radial Head Fractures

Bauer

Ring

2011

Evidence‐Based Orthopedics

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“…Injuries of the radial head are treated according to their type for example Mason I injuries are mainly treated by conservative methods; Mason II injuries can be treated conservatively but if displaced should be managed with open reduction and internal fixation. [6][7][8] Mason type III and above fractures include comminuted fractures of radial head that are considered unreconstructible. 9 Surgical options are radial head excision with or without radial head replacement.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of radial head replacement in isolated radial head fractures

et al. 2017

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Background: Proximal radial fractures are common type of fracture around the elbow joint. These commonly occur after an episode of fall on the outstretched arm. These fractures can occur in isolation or with other associated injuries. Among these comminuted radial head fractures are commonly associated with secondary injuries and instability of the elbow joint. Management of the radial head in such cases is very important in restoring stability of the elbow joint and starting early mobilization. This study will assess functional outcome of radial head replacement in isolated radial head fractures using Mayo elbow performance score.Methods: Over a period of 24 months a total of 18 patients (male 12 and female 6) with isolated radial head fractures were included in the study. All of these patients had MASON type III fractures or above. Radial head replacement arthroplasty was done for irreparable radial head fractures and early mobilization was started. Functional outcome was calculated postoperatively with help of the Mayo elbow score on follow-up at 1, 3 and 6 month interval.Results: On the basis of Mayo elbow performance scores, 13 patients had excellent results; 3 had good results; and 2 had fair results. Mean Mayo elbow score was 88.33 (SD 11.11) after 6 month follow up. None of the patients had elbow instability after radial head replacement. Conclusions: Treatment of irreparable radial head fractures with radial head prosthesis along with soft-tissue reconstruction shows satisfactory results. Early mobilization of the elbow after operation is the key for restoration of elbow range of motion and function.

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Open Reduction and Internal Fixation Compared With Excision for Unstable Displaced Fractures of the Radial Head

Cited by 95 publications

References 30 publications

Radial head arthroplasty with an uncemented modular metallic radial head prosthesis: short- and mid-term results

Radial head arthroplasty with an uncemented modular metallic radial head prosthesis: short- and mid-term results

Radial Head Fractures

Functional outcome of radial head replacement in isolated radial head fractures

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