On-table reconstruction of comminuted fractures of the radial head |
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Authors: | Adrian Businger Thomas P Ruedi Christoph Sommer |
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Institution: | a Department of Surgery, Trauma Unit, Kantonsspital Graubunden, Chur, Switzerland b Department of Surgery, St. Claraspital, Kleinriehenstrasse 30, CH-4016 Basel, Switzerland c AO International, AO Foundation, Clavadelerstrasse 8, CH-7270 Davos Platz, Switzerland |
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Abstract: | The most widely accepted treatment for comminuted fractures of the radial head is either the excision or open reduction and internal fixation. The purpose of the present study is to evaluate the value of an ‘on-table’ reconstruction technique in severely comminuted fractures of the radial head. In this study, two patients with a Mason type-III and four patients with a Mason type-IV radial-head fracture were treated with ‘on-table’ reconstruction and fixation using low-profile mini-plates. After a mean follow-up of 112 months (47-154 months), the mean elbow motion was 0-6-141° extension flexion with 79° of pronation and 70° of supination. The mean Broberg and Morrey functional rating score was 97.0 points, the Mayo Elbow Performance Index was 99.2 points and the mean Disabilities of the Arm, Shoulder, and Hand (DASH) Outcome Measure score was 1.94 points. One patient had symptoms of degenerative changes, with a slight joint-space narrowing. There were no radiographic signs of devitalisation at final examination. Comminuted fractures of the radial head, which would otherwise require excision, can be successfully treated with an ‘on-table’ reconstruction technique. |
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Keywords: | &lsquo On-table&rsquo reconstruction technique Comminuted fractures Radial head |
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