Mason type III fractures of the radial head: ORIF, resection or prosthetic replacement?
Mason type III fractures
Radial head ORIF
Radial head arthroplasty
Radial head fractures complications
Radial head resection
Journal
Musculoskeletal surgery
ISSN: 2035-5114
Titre abrégé: Musculoskelet Surg
Pays: Italy
ID NLM: 101498346
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
12
04
2021
accepted:
26
03
2022
medline:
19
5
2023
pubmed:
17
4
2022
entrez:
16
4
2022
Statut:
ppublish
Résumé
This study focused on a comparison of mid-term clinical, functional and radiographic outcomes of adults treated by open reduction and internal fixation (ORIF), radial head prosthesis (RHP) and resection (RHR). The retrospective evaluation concerned 47 surgically treated patients after a mean follow-up of 53 months. All patients were grouped according to the surgical procedure performed: 15 in the RHP group, 16 in the ORIF group and 16 in the RHR group. At the follow-up, outcome assessment was based on radiographs, range of motion (ROM) and functional rating scores. Patients treated by RHR had significantly higher mean age and shorter operation time than other two groups. Compared to ROM, flexion, extension and pronation were significantly worse in patients treated by ORIF than those in the RHP group and the RHR group. Supination was significantly better in the RHP group. However, no statistical differences were observed in functional rating scores among the three groups. Regarding complications, instability was the only cause of revision surgery in the RHP group and the RHR group. On the other hand, the ORIF group revision rate was 50% and secondary displacement was the most frequent cause of failure. The ORIF group did not show good results with greater elbow stiffness and higher revision rate than the other two techniques. RHR may be suitable for elderly patients with lower functional demands as it reported good clinical results and reduced operation time.
Identifiants
pubmed: 35429279
doi: 10.1007/s12306-022-00745-y
pii: 10.1007/s12306-022-00745-y
pmc: PMC10192170
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
223-230Informations de copyright
© 2022. The Author(s).
Références
Indian J Orthop. 2013 Jul;47(4):323-32
pubmed: 23960274
J Bone Joint Surg Am. 2005 May;87(5):1038-46
pubmed: 15866967
J Bone Joint Surg Am. 2006 Mar;88 Suppl 1 Pt 1:11-23
pubmed: 16510796
Br J Surg. 1954 Sep;42(172):123-32
pubmed: 13209035
J Bone Joint Surg Am. 2010 Mar;92(3):558-66
pubmed: 20194313
J Bone Joint Surg Am. 1986 Jun;68(5):669-74
pubmed: 3722222
Injury. 2019 Aug;50 Suppl 4:S2-S5
pubmed: 31133287
J Bone Joint Surg Br. 2003 Sep;85(7):1040-4
pubmed: 14516043
Acta Orthop Scand. 2000 Apr;71(2):191-4
pubmed: 10852327
Arch Bone Jt Surg. 2018 Sep;6(5):365-370
pubmed: 30320175
J Trauma. 2009 Jul;67(1):143-6
pubmed: 19590324
Injury. 2016 Sep;47 Suppl 3:S29-S34
pubmed: 27692103
J Bone Joint Surg Am. 2002 Oct;84(10):1811-5
pubmed: 12377912
BMC Musculoskelet Disord. 2014 May 06;15:147
pubmed: 24885637
World J Orthop. 2013 Apr 18;4(2):80-4
pubmed: 23610756
Hand (N Y). 2018 Jul;13(4):473-480
pubmed: 28653544
J Hand Surg Am. 2012 Jul;37(7):1416-21
pubmed: 22622090
J Hand Surg Am. 2012 Jan;37(1):112-9
pubmed: 22119600
J Shoulder Elbow Surg. 2019 Nov;28(11):2215-2224
pubmed: 31630752
JBJS Rev. 2016 Oct 18;4(10):
pubmed: 27792673
Clin Orthop Relat Res. 1991 Apr;(265):187-95
pubmed: 2009657
Ulster Med J. 1962 Jun 1;31:51-6
pubmed: 14452145
Clin Orthop Relat Res. 1987 Mar;(216):109-19
pubmed: 3102139
Injury. 2013 Nov;44(11):1540-50
pubmed: 23664241
Eur J Orthop Surg Traumatol. 2016 Apr;26(3):283-91
pubmed: 26794323
J Shoulder Elbow Surg. 2010 Jun;19(4):520-3
pubmed: 20149972
Strategies Trauma Limb Reconstr. 2021 Jan-Apr;16(1):53-59
pubmed: 34326903
J Bone Joint Surg Am. 2004 Sep;86(9):1925-30
pubmed: 15342754