Universität zu Köln

Burkhart, K. J., Wegmann, K., Dargel, J., Ries, C. and Mueller, L. P. (2012). Treatment of radial head and neck fractures: in favor of anatomical reconstruction. Eur. J. Trauma Emerg. Surg., 38 (6). S. 593 - 604. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1863-9941

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Abstract

Radial head fractures represent the most common elbow fractures. Undisplaced fractures usually occur in isolation and can be treated nonsurgically. Displaced fractures should be treated surgically. Simple two-part fractures can easily be handled by osteosynthesis, but comminuted fractures pose a major problem for reconstruction. As the radial head is an important stabilizer of the elbow joint-especially in the context of concomitant ligamentous injuries-its resection may lead to pain, limited range of motion, and instability. Therefore, radial head resection is not recommended for the acute situation and open reduction internal fixation (ORIF) or prosthetic replacement should be aimed for. Complications such as secondary loss of fixation, radial head necrosis, and nonunion due to insufficient stability of the osteosynthesis have often been described. Therefore, prosthetic replacement is recommended if stable reconstruction is impossible. With the development of new locking plates especially designed for the maintenance of radial head fractures, the indications for osteosynthesis may be extended. As radial head fractures are complicated by a high percentage of ligamentous injuries and concomitant elbow fractures such as the coronoid, capitellum, and proximal ulna, these additional injuries have to be taken into account. The current treatment concepts are discussed within this paper.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Burkhart, K. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dargel, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-477298
DOI:	10.1007/s00068-012-0222-x
Journal or Publication Title:	Eur. J. Trauma Emerg. Surg.
Volume:	38
Number:	6
Page Range:	S. 593 - 604
Date:	2012
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1863-9941
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MASON TYPE-III; INTERNAL-FIXATION; OPEN REDUCTION; COMMINUTED FRACTURES; VALGUS STABILITY; PROXIMAL RADIUS; ARTHROPLASTY; REPLACEMENT; PROSTHESIS; KINEMATICS Multiple languages Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47729