Stability of Radial Head and Neck Fractures: A Biomechanical Study of Six Fixation Constructs With Consideration of Three Locking Plates

Burkhart, Klaus J.; Mueller, Lars P.; Krezdorn, David; Appelmann, Philipp; Prommersberger, K.-J.; Sternstein, Werner; Rommens, Pol Maria

doi:10.1016/j.jhsa.2007.08.023

Cited by 45 publications

(43 citation statements)

References 26 publications

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“…Studies in the literature evaluating biomechanical characteristics of various radial head implants are limited (Burkhart et al, 2007;Capo et al, 2008;Giffin et al, 2004;Patterson et al, 2001). This study differs from others currently available in the literature due to its load to failure testing with shear force, as well as its focus on radial neck fractures without fracture gap.…”

Section: Introductionmentioning

confidence: 94%

Comparison of crossed screw versus plate fixation for radial neck fractures

Gutowski

Darvish

Ilyas

et al. 2015

Clinical Biomechanics

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Section: Introductionmentioning

confidence: 94%

Comparison of crossed screw versus plate fixation for radial neck fractures

Gutowski

Darvish

Ilyas

et al. 2015

Clinical Biomechanics

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“…In the last few years, several anatomical plates have been introduced to improve ORIF results in Mason Type II and III fractures. Such precontoured plates not only should provide greater stability than screws alone [15], but they should also guide the surgeon in the reconstruction of the proper morphology of the radial head and neck which has been lost following injury. However, to our knowledge, no study has analyzed whether currently used plates adequately match the profile of the proximal radius in the safe zone.…”

Section: Introductionmentioning

confidence: 99%

The applicability of the mayo clinic congruent radial head plate: cadaveric study

et al. 2011

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In the last few years, several anatomical plates have been introduced to improve the results of ORIF in Mason Type II and III radial head fractures. However, no study analyzed whether currently used plates match adequately the profile of the proximal radius in the "safe zone". In the present investigation, we evaluate the congruence between the proximal radius and a currently used plate. Forty-four radial dried cadaveric bones were analyzed. The plate congruence was evaluated qualitatively and quantitatively. The congruence of the tested plate with the proximal radius was good in 27.3% of specimens, while it was moderate or poor in the remaining 43.2% and 29.5% of cases, respectively. The profile of the proximal radius in the "safe zone" shows substantial morphologic variations which should be taken into account to avoid a malunion of the proximal radius. A preoperative radiograph of the contralateral uninjured radius may be helpful in order to select the most appropriate plate profile in comminuted radial head and neck fractures.

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“…In the case of Mason type III fractures, resection of the radial head has been the traditional treatment. However, recent studies recommend that osteosynthesis should be attempted [14][15][16]. It also advised against performing an immediate resection of the radial head since this could cause a proximal migration of the radius, elbow instability.…”

Section: Discussionmentioning

confidence: 99%

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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Stability of Radial Head and Neck Fractures: A Biomechanical Study of Six Fixation Constructs With Consideration of Three Locking Plates

Cited by 45 publications

References 26 publications

Comparison of crossed screw versus plate fixation for radial neck fractures

Comparison of crossed screw versus plate fixation for radial neck fractures

The applicability of the mayo clinic congruent radial head plate: cadaveric study

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

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