SURGICAL TREATMENT OF RADIAL HEAD FRACTURES
Authors:
Miroslav Homza
Authors‘ workplace:
Trauma centre of University Hospital Olomouc
; Traumacentrum FN Olomouc
Published in:
Úraz chir. 14., 2006, č.2
Overview
The purpose of this study was to compare the outcome of various surgical options exercised in the management of different types of radial head fractures versus total exstirpation of radial head. 42 patients were reexamined, with an average followup period of 9–12 months after surgical treatment. The results were analysed according to the classification of Wesley et al. [1983]. The best results were obtained in Mason type II fractures, followed by type III and type IV fractures. Comparing different operations, the best outcome was observed with screw fixation of Mason type II and type III fractures, followed by extracorporal osteosutures (radial head to insert as spacer). Poor results were obtained after exstirpation of the radial head. The less comminution a radial head fracture appears, the better is the outcome. Screw fixation is to be preferred, if technically possible. Total exstirpation of radial head is contraindicated.
Key words:
radial head fractures, surgical treatment, functional assessment.
Sources
1. AMBACHER, T., MAURER, F., WEISE, K. Behandlungsergebnisse nach primärer und sekundärer Radiusköpfchenresektion. Unfallchirurg. 2000, 103, 437–443.
2. BRAUNSTEINER, T., VESELÝ L., DEMOVIČ R., LOHNERT J., PETROVIČ Š. Chirurgická liečba zlomenín hlavičky rádia: exstirpácia alebo rekonštrukcia? Lek obzor. 1995, 44, 118–120.
3. DOUŠA, P., BARTONÍČEK, J. Essex – Loprestiho zlomenina předloktí (kazuistika). Acta Chir Orthop Traumatol Cech. 2002, 69, 113–116.
4. HART, R., JANEČEK, M., BUČEK, P. Loketní kloub. Ortopedie a traumatologie. Brno: Centa 2002, 150–154.
5. JENSEN, S.L., OLSEN, B.S., SOJBJERG, J.O. Elbow joint kinematics after excision of the radial head. J Shoulder Elbow Surg. 1999, 8, 238–241.
6. KING, G.J.W. Management of radial head fractures with implant arthroplasty. J Hand Surg Am. 2004, 4, 11–22.
7. LINDEMANNSPERFELD, L., HAFERKORN, K., GENEST, M. et al. Diferenzialtherapie der Radiusköpfchenfraktur in Abhängigkeit vom Frakturtyp. Trauma Berufskrankh. 2000, 2, 304–312.
8. MASON, M. L. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954, 42, 123–132.
9. MEYER–MARCOTTY, M.V., LAHODA, L.U. et al. Die Differenzialtherapie der Radiusköpfchenfraktur: Eine kritische Analyse anhand der Ergebnisse von 53 Patienten. Unfallchirurg. 2002, 105, 532–539.
10. MÜLLER, M. E., NAZARIAN, S., KOCH, P. Klassifikation der Frakturen AO/ASIF. SpringerVerlag: Heidelberg, 1988. 203.
11. SCHMIDGEN, A., SCHRAMMEL, W., KESSLER, T. Erste Erfahrungen und Ergebnisse einer neuen RadiusköpfchenProthese (EVOLVE). Poster – Kongres DGU, Berlín, 2004.
12. WESELEY, M.S., BARENFELD, P.A., EISENSTEIN, A.L. Closed treatment of isolated radial head fractures. J Trauma. 1983, 23, 36–39.
Labels
Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2006 Issue 2
Most read in this issue
- SURGICAL TREATMENT OF RADIAL HEAD FRACTURES
- Our experiences with mosaicplasty of the injured knee
- COMPARTMENT SYNDROM AND THE INJURIES OF THE TIBIA
- Proximal femur fractures treated with the nail Targon PF – our first experiences