Comminuted fractures of the radial head. The role of silicone-implant replacement arthroplasty.

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.

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COMMINUTED FRACTURES OF THE RADIAL HEAD

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-200501000-00011 ◽

2005 ◽

Vol 87 (1) ◽

pp. 76-84 ◽

Cited By ~ 25

Author(s):

MASAYOSHI IKEDA ◽

KAZUHIRO SUGIYAMA ◽

CHONTE KANG ◽

TOMONORI TAKAGAKI ◽

YOSHINORI OKA

Keyword(s):

Radial Head ◽

Comminuted Fractures

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The Role of sonography in detecting radial head subluxation in a child

Journal of Clinical Ultrasound ◽

10.1002/jcu.20110 ◽

2005 ◽

Vol 33 (4) ◽

pp. 187-189 ◽

Cited By ~ 3

Author(s):

Shay Shabat ◽

Yoram Folman ◽

Gideon Mann ◽

Yavgeni Kots ◽

Brian Fredman ◽

...

Keyword(s):

Radial Head

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Comminuted fractures of the radial head and neck

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.93b2.24760 ◽

2011 ◽

Vol 93-B (2) ◽

pp. 223-228 ◽

Cited By ~ 23

Author(s):

M. Neumann ◽

R. Nyffeler ◽

M. Beck

Keyword(s):

Head And Neck ◽

Radial Head ◽

Comminuted Fractures

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

BioMed Research International ◽

10.1155/2018/4020625 ◽

2018 ◽

Vol 2018 ◽

pp. 1-12 ◽

Cited By ~ 8

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.

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