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Usefulness of multiple bioabsorbable Mg screws/K­wires for comminuted radial head fractures.
Cha, Soo Min; Lee, Sang Hyun; Ga, In Ho; Kim, Yong Hwan; Lee, Seung Ho.
Afiliación
  • Cha SM; Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, 266 Munwha-Ro, Jung-Gu, Daejeon, Korea. smcha@cnu.ac.kr.
  • Lee SH; Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
  • Ga IH; Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, 266 Munwha-Ro, Jung-Gu, Daejeon, Korea.
  • Kim YH; Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, 266 Munwha-Ro, Jung-Gu, Daejeon, Korea.
  • Lee SH; Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, 266 Munwha-Ro, Jung-Gu, Daejeon, Korea.
Int Orthop ; 48(8): 2165-2177, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38717609
ABSTRACT

PURPOSE:

We hypothesized that multiple absorbable screws/K-wires would be effective for native head preservation in comminuted radial head fracture fixation (com-RHFs).

METHODS:

Seventeen patients who met the inclusion criteria between 2018 and 2020 were included. Radiologic findings indicating proper union and clinical outcomes such as the range of elbow motion, visual analog scale score, and Mayo Elbow Performance Score were assessed prospectively after surgery and at least three years of follow-up.

RESULTS:

The mean follow-up period was 4.6 years. Eleven, one, three, and two patients presented with isolated com-RHFs, type 2 (accompanied injury of medial collateral ligament), type 4 ("terrible triad") fractures, and type 5 posterior olecranon fracture-dislocations, respectively. Union was achieved after a mean of nine weeks postoperatively. The head and shaft angles did not differ significantly from the contralateral normal values (p = 0.778 and 0.872, coronal and sagittal, respectively). At the final follow-up, the mean flexion-extension/pronation-supination arcs were 126.47 ± 4.92°/135.59 ± 10.13°, and thus were significantly different from those on the contralateral side (p < 0.001, both), however the arcs were functional ranges for ordinary daily life. Also, functional status was satisfactory in all individuals. The arthritis grade and extent of heterotrophic ossification were satisfactory in all cases, and there were no serious complications requiring revision surgery.

CONCLUSIONS:

Absorbable screw/K-wire fixation for com-RHFs is an option before radial head arthroplasty associated with a low complication rate and no need for revision.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Fracturas del Radio / Tornillos Óseos / Hilos Ortopédicos / Rango del Movimiento Articular / Fracturas Conminutas / Implantes Absorbibles / Fijación Interna de Fracturas Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int Orthop Año: 2024 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Fracturas del Radio / Tornillos Óseos / Hilos Ortopédicos / Rango del Movimiento Articular / Fracturas Conminutas / Implantes Absorbibles / Fijación Interna de Fracturas Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Int Orthop Año: 2024 Tipo del documento: Article