Indikation und Ergebnisse nach Radiuskopfprothesen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-02-04

AUTHORS

Raphael Küchle, Björn Habermann, Martin Hessmann, Martin Runkel, Pol Maria Rommens

ABSTRACT

Treatment of unreconstructible comminuted fractures of the radial head (Mason type III or IV) remains controversial. Radial head excision was advocated for the management of these severe fractures in the past. Complications such as valgus elbow instability, elbow stiffness, and proximal radial migration can be the result. There is limited information on the outcome of arthroplasty with a radial head implant. The functional outcomes of 19 patients with arthroplasty of the radial head were evaluated after an average of 40.4 months. According to the functional rating index (Broberg and Morrey), 2 results were graded as poor, 6 as fair, and 11 as good or excellent. The poor and fair outcomes were associated with concomitant injuries. Elbow flexion of the injured extremity averaged 121±15°, extension −19±12°, pronation 76±17°, and supination 73±18°. Valgus stability was restored and proximal radial migration did not occur. Complications included two luxations, but no wound infection. Patients treated with radial head prosthesis for a severely comminuted radial head fracture have mild to moderate impairment of the elbow and wrist. Arthroplasty with a radial head prosthesis was found to have been a safe and effective treatment option. More... »

PAGES

35-40

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-003-0705-4

DOI

http://dx.doi.org/10.1007/s10039-003-0705-4

DIMENSIONS

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