Open reduction and internal fixation of radial head fractures
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.15, sa.3, ss.249-255, 2009 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 3
- Basım Tarihi: 2009
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.249-255
- Anahtar Kelimeler: Elbow, Kirschner wire, open reduction and internal fixation, radial head fracture
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: We evaluated the radiologic and functional outcomes of patients with radial head fractures managed with open reduction and internal fixation. METHODS: Between 1998-2003, 15 patients (7 males, 8 females; mean age 34.1; range 18 to 49 years) with radial head fracture were treated with open reduction and internal fixation. Follow-up time was 54.6 months (42-78). Three fractures were Mason type II, 8 were III and 4 were IV. They were evaluated by anteroposterior and lateral radiographs and functionally by Broberg and Morrey criteria. RESULTS: All the fractures except in 1 patient with Mason type III had united. The mean range of motion of the elbow was 20° to 145° with 71.9° of pronation and 83.2° of supination. According to Broberg and Morrey criteria, the outcome was excellent in 8, good in 4, fair in 1 and bad in 2. Excision and prosthetic replacement were performed in 1 patient because of implant failure. CONCLUSION: We suggest open reduction and internal fixation even in comminuted cases because it gives satisfactory elbow function and avoids radial shortening, loss of motion and wrist joint dysfunction as a result of radial head excision. When it fails, excision and prosthetic replacement can be done later.