Osteosynthesis of Radialhead Fractures
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Radialhead is an important stabilizer of the elbow joint. Radialhead fractures are most common fractures of elbow joint. We intended to follow up the functional outcome of newly designed pre - contoured plates and herbet screws in the treatment of radialhead fractures Materials And Methods: We prospectively reviewed 24 cases of radialhead fractures operated in our institute, out of which 8 cases are type 4 radialhead fractures associated with elbow dislocation that was reduced in emergency room and immobilized with above elbow slab followed by definitive treatment by precontoured plates and 0.8 mm k-wires,6 cases are type3 radialhead fractures treated with precontoured plate fixation. 10 cases are type2 radialhead fractures treated with herbet screw fixation. All the patients were under periodic follow up for every 6 weeks till 1 year. Results: Patients will be evaluated by clinical scoring system of MAYO ELBOW PERFORMANCE SCORE.24 patients are followed up periodically and compared using 5 parameters of pain, ROM, stability, daily function, radiological union. Out of 10 type2 fractures full range of movements are achieved for all 10 patients without any block to forearm rotation or instability of elbow joint. Out of 6 type3 radialhead fractures 4 patients achieved good functional outcome and two cases had supination block. Out of 8 type 4 fractures 2 cases had valgus laxity Conclusion: Our study shows better functional outcome of patients treated by osteosynthesis for radialhead fractures Based on our clinical follow up several key points should be emphasised.CT scan is essential tool in preoperative planning of radialhead fractures 1.Pre-contoured plate should be placed in the safe zone of radialhead. 2.Kochers approach is preferred due to lesser risk of PIN injury. 3.Early ROM of elbow joint in 1st post operative week can be allowed in type 2,3 radialhead fractures
Authors and Affiliations
Dr. N. Krishna Prasad, Dr. K. Sunil Kumar, Dr. J. S. S. N. Manohar
Keywords
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- EP ID EP250816
- DOI 10.9790/0853-1612072733
- Views 57
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