Arthroplasty with a Metal Radial Head for Unreconstructible Fractures of the Radial Head

Moro, Jaydeep K.; Werier, Joel; MacDermid, Joy C.; Patterson, Stuart D.; King, Graham J.W.
August 2001
Journal of Bone & Joint Surgery, American Volume;Aug2001, Vol. 83-A Issue 8, p1201
Academic Journal
Background: Treatment of unreconstructible comminuted fractures of the radial head remains controversial. There is limited information on the outcome of management of these injuries with arthroplasty with a metal radial head implant. Methods: The functional outcomes of arthroplasties with a metal radial head implant for the treatment of twenty-five displaced, unreconstructible fractures of the radial head in twenty-four consecutive patients (mean age, fifty-four years) were evaluated at a mean of thirty-nine months (minimum, two years). There were ten Mason type-III and fifteen Mason-Johnston type-IV injuries. Two of these injuries were isolated, and twenty-three were associated with other elbow fractures and/or ligamentous injuries. Results: At the time of follow-up, Short Form-36 (SF-36) summary scores suggested that overall health-related quality of life was within the normal range (physical component = 47 ± 10, and mental component = 49 ± 13). Other outcome scales indicated mild disability of the upper extremity (Disabilities of the Arm, Shoulder and Hand score = 17 ± 19), wrist (Patient-Rated Wrist Evaluation score = 17 ± 21 and Wrist Outcome Score = 60 ± 10), and elbow (Mayo Elbow Performance Index = 80 ± 16). According to the Mayo Elbow Performance Index, three results were graded as poor; five, as fair; and seventeen, as good or excellent. The poor and fair outcomes were associated with concomitant injury in two patients, a history of a psychiatric disorder in three, comorbidity in two, a Workers' Compensation claim in two, and litigation in one. Subjective patient satisfaction averaged 9.2 on a scale of 1 to 10. Elbow flexion of the injured extremity averaged 140° ± 9°; extension, -8° ± 7° pronation, 78° ± 9°; and supination, 68° ± 10°. A significant loss of elbow flexion and extension and of forearm supination occurred in the affected extremity, which...


Related Articles

  • Complications Following Distal Radial Fractures. Jupiter, Jesse B.; Fernandez, Diego L. // Journal of Bone & Joint Surgery, American Volume;Aug2001, Vol. 83-A Issue 8, p1244 

    Reprints an instructional course lecture on complications following distal radial fractures, released by the American Academy of Orthopedic Surgeons. Malunion of the distal end of the radius; Indications and contraindications of distal radial osteotomy; Timing of the osteotomy; Preoperative...

  • Function similar with conservative care, surgery post-distal radius fracture. Brockenbrough, Gina // Orthopedics Today;Apr2008, Vol. 28 Issue 4, p58 

    The article reports that no difference is seen in the functional recovery of patients who had undergone conservative and aggressive treatment for distal radius fracture, according to a review by Kenneth A. Engol and colleagues. Lower pain scores were seen with the patients in the nonoperated...

  • Combined Dorsal and Volar Plate Fixation of Complex Fractures of the Distal Part of the Radius. Ring, David; Prommersberger, Karl; Jupiter, Jesse B. // Journal of Bone & Joint Surgery, American Volume;Sep2005 Supplement, Vol. 87-A, p195 

    BACKGROUND: Fractures of the distal part of the radius that are associated with complex comminution of both the articular surface and the metaphysis (subgroup C3.2 according to the Comprehensive Classification of Fractures) are a challenge for surgeons using standard operative techniques....

  • Less invasive surgery with wrist arthroscopy for distal radius fracture. Abe, Yukio; Yoshida, Koji; Tominaga, Yasuhiro // Journal of Orthopaedic Science;May2013, Vol. 18 Issue 3, p398 

    Background: We developed a surgical procedure that can facilitate arthroscopic intervention for volar locking plate fixation for distal radius fracture (DRF) with a less invasive technique. This study is to investigate the effectiveness of our original procedure for the treatment of DRF....

  • Comment on Zhou et al.: Do we really need closed-suction drainage in total hip arthroplasty? A meta-analysis. Zhang, Shu; Guo, Ting; Zhao, Jianning // International Orthopaedics;Dec2013, Vol. 37 Issue 12, p2529 

    A letter to the editor is presented in response to the article titled "Do we really need closed-suction drainage in total hip arthroplasty? A meta analysis" that was published in a previous issue of the periodical.

  • Anatomical and radiological study applied to distal radius surgery. Gasse, N.; Lepage, D.; Pem, R.; Bernard, C.; Lerais, J. M.; Garbuio, P.; Obert, L. // Surgical & Radiologic Anatomy;Aug2011, Vol. 33 Issue 6, p485 

    Purpose: The purpose of this study was to determine, during anterior plating of the distal radius, the length of a screw above which there is a risk for the extensor tendons and the optimal shape of an anterior plate. It was also to determine the projection of the axis of the distal third of the...

  • Anconeus Interposition Arthroplasty: Mid- to Long-term Results. Baghdadi, Yaser; Morrey, Bernard; Sanchez-Sotelo, Joaquin // Clinical Orthopaedics & Related Research;Jul2014, Vol. 472 Issue 7, p2151 

    Background: Radiocapitellar arthritis and/or proximal radioulnar impingement can be difficult to treat. Interposition of the anconeus muscle has been described in the past as an alternative option in managing arthritis, but there are little published data about relief of pain and restoration of...

  • Fractures of the neck of the femur. Parker, Martyn J. // Trauma;Jan2008, Vol. 10 Issue 1, p43 

    A hip fracture represents one of the commonest reasons for an elderly patient to be admitted to an acute orthopaedic ward. The average age of patients is about 80 years and the most patients are female. Surgical treatment is recommended for the majority of fractures. For intracapsular fractures...

  • Modular Femoral Component for Conversion of Previous Hip Surgery in Total Hip Arthroplasty. Goldstein, Wayne M.; Branson, Jill J. // Orthopedics;Sep2005 Supplement, Vol. 28, ps1079 

    The conversion of previous hip surgery to total hip arthroplasty creates a durable construct that is anatomically accurate. Most femoral components with either cemented or cementless design have a fixed tapered proximal shape. The proximal femoral anatomy is changed due to previous hip surgery...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics