[Hemiarthroplasty of the radial head in patients with Mason Johnston types III and IV fracture]. / Hemiartroplastía de cúpula radial en pacientes con fractura tipo III y IV según Mason Johnston.
Acta Ortop Mex
; 29(3): 148-54, 2015.
Article
de Es
| MEDLINE
| ID: mdl-26999965
ABSTRACT
INTRODUCTION:
The radial head is a primary and important stabilizer of the elbow, mainly for valgus stability, posterolateral and axial displacement of the radius and varus loading. Radial head fractures account for 1.7-5% of all fractures in adults, 17-19% of elbow trauma, and 33% of all elbow fractures. The latter is the most common one at this level. The alternatives for a radial head fracture that cannot be reconstructed include excision of the radial head or hemiarthroplasty.OBJECTIVE:
To assess the function of patients who underwent radial head hemiarthroplasty for Mason-Johnston types III and IV fractures, us- ing the Mayo Elbow Performance Index (MEPI) and Quick-Dash (QD). MATERIAL ANDMETHODS:
A one-year long observational, cross-sectional and ambispective study was conducted at the Thoracic Limb Service, "Lomas Verdes" Orthopedics and Traumatology Hospital. The patients included were ages 18 to 60 years, had a diagnosis of Mason-Johnston types III and IV radial head fractures and were treated with radial head hemiarthroplasty.RESULTS:
A total of seven patients were included, 3 females (42.9%) and 4 males (57.1%). The results of elbow function according to the MEPI were as follows Excellent, 6 patients (85.7%); Good, one patient (14.3%). The results of the QD functionality and symptoms scale were 6 patients had a score of 0-5, and one patient more than 10.CONCLUSIONS:
Surgical treatment consisting of radial head hemiarthroplasty for Mason-Johnston types III and IV fractures yields good short-term results, because it provides excellent to good function, valgus and varus elbow stability, and minimum elbow symptoms.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Fractures du radius
/
Articulation du coude
/
Hémiarthroplastie
Type d'étude:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limites:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
Mexico
Langue:
Es
Journal:
Acta Ortop Mex
Sujet du journal:
ORTOPEDIA
Année:
2015
Type de document:
Article