Universität zu Köln

Burkhart, K. J., Gruszka, D., Frohn, S., Wegmann, K., Rommens, P. M., Eicker, C. M. and Mueller, L. P. (2015). Locking plate osteosynthesis of the radial head fractures. Clinical and radiological results. Unfallchirurg, 118 (11). S. 949 - 957. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

Therapy of radial head fractures is still controversially discussed. Especially comminuted fractures are at risk of complications such as radial head necrosis, nonunion and secondary loss of reduction after open reduction and internal fixation. The aim of this study was to evaluate clinical and radiographic results of ORIF (open reduction internal fixation) of radial head fractures using a new radial head-specific locking plate system. A total of 21 patients (13 men and 8 women) were treated with locking plate osteosynthesis of radial head fractures. Mean age was 50 years (range 29-67 years). According to the Mason classification, 15 were type III and 6 type IV. Mean time between trauma and surgery was 5.6 days (range 0-23 days). These patients were reexamined using the Mayo Elbow Performance Score and x-rays in two planes. In all, 21 patients were reexamined with a mean follow-up of 12.1 months (range 5-23 months). The mean Mayo Elbow Performance Score was 87.1. Excellent results were obtained in 12 patients, good results in 6 patients, and fair results in 3 patients. Mean extension deficit was 12.1A degrees, mean flexion 135.2A degrees, mean pronation 70.9A degrees, and mean supination 63.6A degrees. All fractures healed uneventfully. There was no complete radial head necrosis but one partial. Four cases of heterotopic ossification were detected: Hastings classification I (n = 2), IIb (n = 1), IIIb (n = 1). ORIF of radial head fractures using locking plates can lead to good and excellent results. Modern implants may allow for reconstruction of comminuted fractures avoiding arthroplasty in these young patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Burkhart, K. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gruszka, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Frohn, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rommens, P. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eicker, C. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-388003
DOI:	10.1007/s00113-014-2562-y
Journal or Publication Title:	Unfallchirurg
Volume:	118
Number:	11
Page Range:	S. 949 - 957
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MASON TYPE-III; FIXATION; NECK; RECONSTRUCTION; REPLACEMENT; MORPHOLOGY; STABILITY; NONUNION; ELBOW Multiple languages Emergency Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38800