Indications and Clinical Results of Radial Head Replacement: Has Anything Changed?

Abstract:

:Radial head fractures are common injuries comprising 1/3 of the fractures about the elbow. As a secondary valgus stabilizer of the elbow, radial head fractures can compromise elbow stability leading to long-term pain, dysfunction, and degenerative change. Furthermore, radial head fractures can be accompanied by associated injuries including ligamentous lesions that can further exacerbate elbow instability, leading to long-term sequelae. As fixation principles and technology have evolved, so has the ability to render surgical treatment for these fractures. In general, minimally displaced and some displaced fractures may be treated nonoperatively with early motion. Fractures with a block to rotation and displaced fragments with 3 or fewer fragments may be treated with open reduction and internal fixation. Comminuted fractures or those with greater than 3 fragments may be successfully treated with radial head replacement. Associated elbow instability will also influence treatment decisions.

journal_name

J Orthop Trauma

authors

Eyberg BA,McKee MD

doi

10.1097/BOT.0000000000001641

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

S1-S6

eissn

0890-5339

issn

1531-2291

pii

00005131-201912008-00002

journal_volume

33 Suppl 8

pub_type

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