Open Reduction and Internal Fixation of Fractures of the Radial Head

Ring, David; Quintero, Jaime Raúl Duque; Jupiter, Jesse B.

doi:10.2106/00004623-200210000-00011

Cited by 413 publications

(228 citation statements)

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“…Ring et al [24] published an average score of 92 points using the same score. They also found a significant association between an unsatisfactory result and a complex injury pattern.…”

Section: Treatment Of Mason Type II Fractures Is Still Controversialmentioning

confidence: 99%

Arthroscopic management of Mason type 2 radial head fractures

Michels

Pouliart

Handelberg

2007

Knee Surg Sports Traumatol Arthr

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During decennia the treatment of radial head fractures has been controversial. For Mason type II fractures, more recent studies agree that open reduction and internal fixation is the treatment of choice. It restores biomechanical properties, allows an early mobilisation of motion and results in better functional outcome compared with other treatments. In this study, we present the mid-to-long-term results of an arthroscopic technique for reduction and percutaneous fixation. Fourteen patients were available for follow-up with a final assessment performed at an average of 5 years 6 months (range 1 year to 11 years 3 months). Patients were evaluated for pain, motion and radiological findings. The average elbow score (Broberg and Morrey in J Bone Joint Surg Am 68:669-674, 1986) was 97.6 points (range 86-100), corresponding with 3 good and 11 excellent results. Two of the patients with only good results had associated cartilage lesions of the capitellum. Our results show that arthroscopically assisted reduction and internal fixation of type II radial head fractures is a valid technique with consistently good outcome. Although the technique is technically demanding, it allows more precise articular fracture reduction control, as well as better evaluation of associated lesions.

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“…Ring et al [24] published an average score of 92 points using the same score. They also found a significant association between an unsatisfactory result and a complex injury pattern.…”

Section: Treatment Of Mason Type II Fractures Is Still Controversialmentioning

confidence: 99%

Arthroscopic management of Mason type 2 radial head fractures

Michels

Pouliart

Handelberg

2007

Knee Surg Sports Traumatol Arthr

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“…Nichtdislozierte Radiuskopffrakturen können konservativ behandelt werden, dislozierte müssen offen reponiert und stabilisiert werden CME rativer Versorgung von Mehrfragmentfrakturen keine Seltenheit [25]. Mit der Entwicklung von neuen radiuskopfspezifischen winkelstabilen Plattensystemen sind die Möglichkeiten für eine übungs-stabile Rekonstruktion deutlich erweitert worden.…”

Section: Mit 20-30% Sind Radiuskopffrakturen Die Häufigsten Frakturenunclassified

“…Darüber hinaus kann die Ellenbogenstabilität überprüft werden, wenn der Patient es toleriert. Die Evaluation von ligamentären Verletzungen ist sehr wichtig, da dadurch die Behandlung signifikant beeinflusst wird [25].…”

Section: Diagnosestellungunclassified

“…Es gibt keine definitive Evidenz dafür, welche Radiuskopffrakturen für eine offene Reposition und Stabilisierung geeignet sind und welche nicht. Ring schlägt vor, dass Radiuskopffrakturen mit mehr als 3 Fragmenten nicht rekonstruiert werden sollten, da er eine hohe Rate an Komplikationen und schlechte klinische Ergebnisse bei diesen Frakturen gefunden hat [25]. Durch eine nichtstabile Rekonstruktion kann es zu Radiuskopfnekrosen, Pseudarthrose und sekundärem Repositionsverlust kommen.…”

Section: Mason-iii-und -Iv-frakturenunclassified

“…Frakturen in Kombination mit einer Ellenbogenluxation werden durch den Typ IV klassifiziert.Die Behandlungsstrategien von Radiuskopffrakturen sind stark abhängig von den Begleitverletzungen. Die häufigsten wurden von Ring et al zusammengefasst[24,25]: 1. Radiuskopffraktur mit posteriorer Ellenbogenluxation, 2.…”

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Frakturen des Ellenbogengelenkes

Nowak

Dietz

Burkhart

et al. 2012

Chirurg

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Fractures around the elbow joint comprise fractures of the distal humerus, the radial head, the olecranon and the coronoid process. Combined lesions are particularly demanding for the surgeon. Accurate knowledge of the anatomy and of the biomechanics is an essential requirement for a specific diagnosis and therapy. A stable and painless movable elbow joint is essential for most of the activities of daily living. Risk factors for the development of posttraumatic elbow joint arthrosis are non-anatomically reconstructed joint surfaces, axial malalignment of the joint axis and untreated concomitant injuries. Modern angular stable and anatomically preshaped implants facilitate a biomechanically adequate osteosynthesis and avoid or decrease functional impairment. In consideration of an increasing number of osteoporotic elbow joint fractures, endoprosthetic replacement has gained significance.

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