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

Posterior Branches of Lumbar Spinal Nerves – part II: Lumbar Facet Syndrome – Pathomechanism, Symptomatology and Diagnostic Work-up

Posterior branches of the lumbar spinal nerves are the anatomic substrate of pain in the lower back, sacrum and the gluteal area. Such pain may be associated with various pathologies which cause pain in the posterior bra...

Quality of life of women with osteoporosis – review of literature

Osteoporosis is a systemic skeletal disease characterized by low bone mass and architectural derangements leading to an increased fracture risk. Evaluation of the quality of life of patients with osteoporosis concerns th...

The results of treatment for nonunion forearm bones using intramedullary locking nail.

Background. We report our experience with the use of a full-thickness corticocancellous iliac-crest graft, 1 to 5 centimeters in length - to treat established nonunion of the radius and/or ulna. Material and methods. The...

Zastosowanie implantów z porowatego tytanu w aloplastykach pierwotnych stawu biodrowego

[b]Wstęp.[/b]Aloplastyka całkowita stawu biodrowego jest procedurą wykonywaną coraz częściej. W dużej liczbie przypadków nieuchronnie znajdują się pacjenci, u których mimo pierwotnego charakteru zabiegu niezbędne jest uz...

Analiza chodu pacjentów po endoprotezoplastyce stawu biodrowego

Wstęp. Choroba zwyrodnieniowa jest najczęstszą patologią stawów i główną przyczyną niepełnosprawności osób starszych. Najskuteczniejszym leczeniem pozostaje zabieg endoprotezoplastyki. W rutynowej ocenie pooperacyjnej pa...

Download PDF file
  • EP ID EP207200
  • DOI -
  • Views 82
  • Downloads 0

How To Cite

Bartosz Chwedczuk, Piotr Piekarczyk, Krzysztof Kwiatkowski (2016). Surgical Treatment of Radial Head Fractures: Outcomes and Complications. Ortopedia Traumatologia Rehabilitacja, 18(5), 435-444. https://europub.co.uk/articles/-A-207200