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EnglishOBJECTIVES: The aim of this study is to retrospectively review the outcomes of patients with comminuted radial head fractures surgically treated with early radial head excision. DESIGN: Retrospective follow-up study. SETTING: University orthopaedic trauma center. PATIENTS: Forty-two patients with unilateral, isolated, closed, displaced, or comminuted radial head fracture (Mason type 2-10, Type 3-32). INTERVENTION: Early radial head excision. MAIN OUTCOME MEASUREMENTS: Patients were clinically and radiographically evaluated at an average follow-up of 18 years. The uninjured contralateral limb was used as a comparison. Clinical evaluation was rated using the Broberg and Morrey system, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and the visual analog scale (VAS) for pain. RESULTS: At last follow-up, 36 patients had no complaints, whereas six admitted to occasional pain. The mean Broberg and Morrey score was 91.2 ± 6.3, and the mean Disabilities of the Arm, Shoulder and Hand score was 10.1 ± 8.8. CONCLUSION: Early radial head excision represents a viable option in case of displaced and comminuted fractures. According to the results of this study, it demonstrated a high rate of good results and patient satisfaction, a quick recovery after surgery, and a low rate of complications with durable results at long-term follow-up.
| Titolo: | Early radial head excision for displaced and comminuted radial head fractures: considerations and concerns at long-term follow-up | |
| Autore/i: | FALDINI, CESARE; NANNI, MATTEO; LEONETTI, DANILO; CAPRA, PAOLA; Bonomo M.; PERSIANI, VALENTINA; Galante C.; GIANNINI, SANDRO | |
| Autore/i Unibo: | ||
| Anno: | 2012 | |
| Rivista: | ||
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1097/BOT.0b013e318220af4f | |
| Abstract: | OBJECTIVES: The aim of this study is to retrospectively review the outcomes of patients with comminuted radial head fractures surgically treated with early radial head excision. DESIGN: Retrospective follow-up study. SETTING: University orthopaedic trauma center. PATIENTS: Forty-two patients with unilateral, isolated, closed, displaced, or comminuted radial head fracture (Mason type 2-10, Type 3-32). INTERVENTION: Early radial head excision. MAIN OUTCOME MEASUREMENTS: Patients were clinically and radiographically evaluated at an average follow-up of 18 years. The uninjured contralateral limb was used as a comparison. Clinical evaluation was rated using the Broberg and Morrey system, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and the visual analog scale (VAS) for pain. RESULTS: At last follow-up, 36 patients had no complaints, whereas six admitted to occasional pain. The mean Broberg and Morrey score was 91.2 ± 6.3, and the mean Disabilities of the Arm, Shoulder and Hand score was 10.1 ± 8.8. CONCLUSION: Early radial head excision represents a viable option in case of displaced and comminuted fractures. According to the results of this study, it demonstrated a high rate of good results and patient satisfaction, a quick recovery after surgery, and a low rate of complications with durable results at long-term follow-up. | |
| Data prodotto definitivo in UGOV: | 2014-03-11 | |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
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