Surgical Treatment of Radial Head Fractures: Outcomes and Complications
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2016, Vol 18, Issue 5
Abstract
[b]Background. [/b]Appropriate treatment of radial head fractures remains an area of disputes and controversy. The present paper aims to assess the outcomes of surgical fixation of these injuries and identify the most common complications. [b]Material and methods. [/b]The medical records of 63 patients (25 women and 38 men) treated in 2011 -2014 were analysed retrospectively. The treatment outcomes were assessed according to the Broberg and Morrey rating system and the QuickDASH score.[b]Results.[/b] Of 21 patients with isolated fractures, all those with Type 2 fractures demonstrated excellent outcomes. In the group with Type 3 fractures, 11 patients showed satisfactory and 4 unsatisfactory outcomes. Of 19 patients with a fracture combined with elbow dislocation, all those with Type 2 fractures achieved excellent results while in the group with Type 3 fractures 8 patients had satisfactory and 4 had unsatisfactory outcomes. 23 patients were diagnosed with Hotchkiss’ terrible triad; 7 of them had sustained Type 2 fractures and showed satisfactory outcomes while those with Type 3 fractures demonstrated 12 satisfactory and 4 unsatisfactory results. Complications included limited elbow mobility (59% of the patients), pain (52.9%), lower muscle strength (35.3%), posttraumatic arthrosis (29.4%), heterotopic ossification (11.8%) and nonunion (1.5%). Eleven patients required repeat surgery.[b]Conclusions. [/b]1. Today’s materials used for the fixation of fracture fragments allow for a stable fixation of almost any fracture of the radial head. 2. As long as fixation of a given radial head fracture is technically possible, open reduction and internal fixation should be attempted. 3. If fixation is impossible, radial head replacement should be a method of choice.
Authors and Affiliations
Bartosz Chwedczuk, Piotr Piekarczyk, Krzysztof Kwiatkowski
Keywords
Related Articles
- EP ID EP207200
- DOI -
- Views 79
- Downloads 0
Mobility of cervical spine and postural equilibrium in patients with spinal overload syndrome<br />.
Introduction. The spinal overload syndrome develops as a result of the gradual wearing away of the structural elements of the spine due to loads exceeding their endurance strength in the setting of reduced adaptability....
Medial synovial plica<br />
Background. The purpose of this paper is to describe the frequency, pathophysiology and clinical sequelae of synovial plica of the knee. This structure is a remnant of tissue pouches found in the early stages of fetal gr...
Knowledge of Participants of the 5th Polish Foot and Ankle Society (PFAS) Congress about the Diagnosis and Treatment of Plano-valgus Feet Secondary to Posterior Tibial Tendon Dysfunction (PTTD)
Background. Posterior tibial tendon dysfunction (PTTD) ranks among the most common causes of adult acquired flatfoot deformity. The deformity develops gradually through characteristic stages and its early manifestations...
Use of arthroscopy in wrist instabilities
Wrist arthroscopy is one of the most important tools in diagnosis of wrist pathologies. This invasive method of diagnosis can provide us a true view of cartilage, ligamentous stability giving also a possibility of dynami...
Obustronna choroba Perthesa
Wstęp. U większości pacjentów choroba Perthesa rozwija się w jednym stawie biodrowym. Częstość występowania obustronnej martwicy głowy kości udowej wynosi od 8 do 24%. Celem naszej pracy jest analiza przebiegu i wyników...