Comminuted Fractures of the Radial Head

1998 ◽  
Vol 353 ◽  
pp. 40-52 ◽  
Author(s):  
Kim L. Furry ◽  
Carlton M. Clinkscales
Keyword(s):  
Radial Head ◽  
Comminuted Fractures

INTERNAL FIXATION OF RADIAL HEAD FRACTURES WITH AN INTRAMEDULLARY NAIL

2013 ◽  
Vol 25 (01) ◽  
pp. 1350007
Author(s):  
Matija Krkovic ◽  
Miha Brojan ◽  
David Bombac ◽  
Dejan Hermann
Keyword(s):  
Intramedullary Nail ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Vascular Supply ◽  
General Idea ◽  
Stable Fixation ◽  
Radial Head Fractures ◽  
Design And Manufacturing ◽  
Comminuted Fractures ◽  
Thin Walled

Comminuted fractures of the radial head still present significant technical and surgical challenges. In this article, we describe a novel fixation of comminuted radial head fractures with the help of an intramedullary nail. Experiments with solid, conventionally machined intramedullary nails showed some major drawbacks in the fixation of radial head fractures. Several design and manufacturing procedures were proposed. The general idea behind the new design was the concept of a nail which would eliminate the need for prefabricated bores. Experiments with a selective laser sintered thin-walled nail, designed with the help of CT images, fulfilled expectations. This thin-walled proximal radius nail thus offers a stable fixation of the radial head fracture fragments, with the ability to preserve the existing vascular supply to the radial head fragments, and therefore not just use the reconstructed radial head as a bioprosthesis.

COMMINUTED FRACTURES OF THE RADIAL HEAD

2005 ◽  
Vol 87 (1) ◽  
pp. 76-84 ◽  
Author(s):  
MASAYOSHI IKEDA ◽  
KAZUHIRO SUGIYAMA ◽  
CHONTE KANG ◽  
TOMONORI TAKAGAKI ◽  
YOSHINORI OKA
Keyword(s):  
Radial Head ◽  
Comminuted Fractures

Comminuted fractures of the radial head and neck

2011 ◽  
Vol 93-B (2) ◽  
pp. 223-228 ◽  
Author(s):  
M. Neumann ◽  
R. Nyffeler ◽  
M. Beck
Keyword(s):  
Head And Neck ◽  
Radial Head ◽  
Comminuted Fractures

scholarly journals Radial Head Resection versus Arthroplasty in Unrepairable Comminuted Fractures Mason Type III and Type IV: A Systematic Review

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Francesco Catellani ◽  
Francesca De Caro ◽  
Carlo F. De Biase ◽  
Vincenzo R. Perrino ◽  
Luca Usai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radial Head ◽  
Stability Range ◽  
Radial Head Fractures ◽  
Radial Head Arthroplasty ◽  
Type Iii ◽  
Type Iv ◽  
Radial Head Resection ◽  
Comminuted Fractures ◽  
Poor Outcomes

Unrepairable comminuted fractures of the radial head Mason type III or type IV have poor outcomes when treated by open reduction and internal fixation. Radial head resection has been proposed as good option for surgical treatment, while in the last decades, the development of technology and design in radial head prosthesis has increased efficacy in prosthetic replacement. The present review was conducted to determine the best surgical treatment for comminuted radial head when ORIF is not possible. Better outcomes are reported for radial head arthroplasty in terms of elbow stability, range of motion, pain, and fewer complications compared to radial head excision. Nevertheless, radial head resection still can be considered an option of treatment in isolated radial head fractures with no associated ligament injuries lesion of ligaments or in case of older patients with low demanding function.

Radial Head Comminuted Fractures: a Comparative Study Between Resection and Internal Fixation

2010 ◽  
Vol 54 (5) ◽  
pp. 280-288
Author(s):  
P. Sánchez Gómez ◽  
F. Lajara Marco ◽  
F.J. Ricón Recarey ◽  
J.A. Lozano Requena
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Radial Head ◽  
Comminuted Fractures

Comminuted fractures of the radial head: resection or prosthesis?

Injury ◽  
2016 ◽  
Vol 47 ◽  
pp. S29-S34 ◽  
Author(s):  
Yaiza Lópiz ◽  
Ana González ◽  
Carlos García-Fernández ◽  
Javier García-Coiradas ◽  
Fernando Marco
Keyword(s):  
Radial Head ◽  
Radial Head Resection ◽  
Comminuted Fractures

Comminuted Fractures of the Radial Head

2005 ◽  
Vol 87 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Masayoshi Ikeda ◽  
Kazuhiro Sugiyama ◽  
Chonte Kang ◽  
Tomonori Takagaki ◽  
Yoshinori Oka
Keyword(s):  
Radial Head ◽  
Comminuted Fractures

scholarly journals Bipolar Polyethylene Radial Head Artroplasty in Posttraumatic Unstable Elbows Prosthetic design and clinical results

2017 ◽  
Vol 54 (2) ◽  
pp. 298-301
Author(s):  
Paul Dan Sirbu ◽  
Razvan Tudor ◽  
Grigore Berea ◽  
Andrei Scripcaru ◽  
Bogdan Ciubara ◽  
...  
Keyword(s):  
Radial Head ◽  
Functional Results ◽  
Clinical Results ◽  
Implantation Technique ◽  
Prosthetic Design ◽  
Performance Score ◽  
Radial Head Fractures ◽  
Mayo Elbow Performance Score ◽  
Comminuted Fractures ◽  
Joint Tracking

The purpose of this experimental study is to present the design and biomechanical characteristics of bipolar polyethylene radial head prostheses type KPS (CHM â Poland), as well as to evaluate their use in comminuted fractures type Mason III associated with ligament injuries. We retrospectively evaluated 7 patients with 7 complex radial head fractures with an average age of 38.5 years. The prostheses were implanted through a lateral Kocher approach and patients immediately began the rehabilitation of the elbow. The functional results according to the MEPS score (Mayo Elbow Performance Score) were excellent in 3 cases and good in 4 cases, without stem loosening or residual instability of the elbow. Due to the overwhelming advantages of this bipolar prosthesis (better joint tracking and easier implantation technique) and its very good functional results, the authors recommend this type of arthroplasty in posttraumatic elbow instability.

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