Reconstruction of Mason type-III and type-IV radial head fractures with a new fixation device

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Reconstruction of Mason type-III and type-IV radial head fractures with a new fixation device : 23 patients followed 1-4 years. / Koslowsky, Thomas C; Mader, Konrad; Gausepohl, Thomas; Pennig, Dietmar.

in: ACTA ORTHOP, Jahrgang 78, Nr. 1, 02.2007, S. 151-6.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{a814c3bde9244580abd9564f0694532f,
title = "Reconstruction of Mason type-III and type-IV radial head fractures with a new fixation device: 23 patients followed 1-4 years",
abstract = "BACKGROUND: Treatment options in radial head fractures of Mason types III and IV range from open reduction and internal fixation (ORIF) to radial head resection with or without prosthetic replacement.PATIENTS: In a prospective study, the radiographic and clinical outcome was evaluated in 23 patients (age median 51 years) with 23 complex radial head fractures median 2 (1-4) years after ORIF using a new fixation device (FFS; Orthofix). 14 Mason type-III fractures with 2 concomitant olecranon fractures and 1 ulnar nerve lesion, and 11 type-IV fractures with 2 olecranon fractures and 2 fractures of the coronoid process were treated. 2 patients were lost to follow-up. In 7 cases of joint instability, an elbow fixator with motion capacity was applied after ORIF of the radial head.RESULTS: No radial head resection was necessary. No secondary dislocations or nonunion occurred. The Morrey elbow score was excellent in 8 and good in 4 Mason type-III fractures and excellent in 5, good in 3, and fair in 3 Mason type-IV fractures.INTERPRETATION: Reconstruction of comminuted radial head fractures can be performed with this device and radial head resection can be avoided.",
keywords = "Adult, Aged, Elbow Joint, Female, Follow-Up Studies, Fracture Fixation, Internal, Humans, Male, Middle Aged, Prospective Studies, Radius Fractures, Range of Motion, Articular, Recovery of Function, Treatment Outcome, Journal Article",
author = "Koslowsky, {Thomas C} and Konrad Mader and Thomas Gausepohl and Dietmar Pennig",
year = "2007",
month = feb,
doi = "10.1080/17453670610013565",
language = "English",
volume = "78",
pages = "151--6",
journal = "ACTA ORTHOP",
issn = "1745-3674",
publisher = "informa healthcare",
number = "1",

}

RIS

TY - JOUR

T1 - Reconstruction of Mason type-III and type-IV radial head fractures with a new fixation device

T2 - 23 patients followed 1-4 years

AU - Koslowsky, Thomas C

AU - Mader, Konrad

AU - Gausepohl, Thomas

AU - Pennig, Dietmar

PY - 2007/2

Y1 - 2007/2

N2 - BACKGROUND: Treatment options in radial head fractures of Mason types III and IV range from open reduction and internal fixation (ORIF) to radial head resection with or without prosthetic replacement.PATIENTS: In a prospective study, the radiographic and clinical outcome was evaluated in 23 patients (age median 51 years) with 23 complex radial head fractures median 2 (1-4) years after ORIF using a new fixation device (FFS; Orthofix). 14 Mason type-III fractures with 2 concomitant olecranon fractures and 1 ulnar nerve lesion, and 11 type-IV fractures with 2 olecranon fractures and 2 fractures of the coronoid process were treated. 2 patients were lost to follow-up. In 7 cases of joint instability, an elbow fixator with motion capacity was applied after ORIF of the radial head.RESULTS: No radial head resection was necessary. No secondary dislocations or nonunion occurred. The Morrey elbow score was excellent in 8 and good in 4 Mason type-III fractures and excellent in 5, good in 3, and fair in 3 Mason type-IV fractures.INTERPRETATION: Reconstruction of comminuted radial head fractures can be performed with this device and radial head resection can be avoided.

AB - BACKGROUND: Treatment options in radial head fractures of Mason types III and IV range from open reduction and internal fixation (ORIF) to radial head resection with or without prosthetic replacement.PATIENTS: In a prospective study, the radiographic and clinical outcome was evaluated in 23 patients (age median 51 years) with 23 complex radial head fractures median 2 (1-4) years after ORIF using a new fixation device (FFS; Orthofix). 14 Mason type-III fractures with 2 concomitant olecranon fractures and 1 ulnar nerve lesion, and 11 type-IV fractures with 2 olecranon fractures and 2 fractures of the coronoid process were treated. 2 patients were lost to follow-up. In 7 cases of joint instability, an elbow fixator with motion capacity was applied after ORIF of the radial head.RESULTS: No radial head resection was necessary. No secondary dislocations or nonunion occurred. The Morrey elbow score was excellent in 8 and good in 4 Mason type-III fractures and excellent in 5, good in 3, and fair in 3 Mason type-IV fractures.INTERPRETATION: Reconstruction of comminuted radial head fractures can be performed with this device and radial head resection can be avoided.

KW - Adult

KW - Aged

KW - Elbow Joint

KW - Female

KW - Follow-Up Studies

KW - Fracture Fixation, Internal

KW - Humans

KW - Male

KW - Middle Aged

KW - Prospective Studies

KW - Radius Fractures

KW - Range of Motion, Articular

KW - Recovery of Function

KW - Treatment Outcome

KW - Journal Article

U2 - 10.1080/17453670610013565

DO - 10.1080/17453670610013565

M3 - SCORING: Journal article

C2 - 17453407

VL - 78

SP - 151

EP - 156

JO - ACTA ORTHOP

JF - ACTA ORTHOP

SN - 1745-3674

IS - 1

ER -