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, Vol. 78, No. 1, 02.2007, p. 151-6.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -