2012, Number 5
<< Back Next >>
Acta Ortop Mex 2012; 26 (5)
Prosthetic radial head for type III Masson fractures
Vergara-Fernández HJ, Cano-Rodríguez AI
Language: Spanish
References: 18
Page: 307-309
PDF size: 55.18 Kb.
ABSTRACT
Introduction: The treatment of type III Masson radius head fractures is variable; there is not a clear solution.
Material and methods: This study addresses the course of patients treated with radius head replacement for type III Masson fractures at ISSEMYM Medical Center, Ecatepec, Mexico.
Results: Four male patients were included; mean age was 34.5 years (range 28-41). The mechanism of injury was direct contusion; 3 of the elbows were left (75%) and one was right (25%). A bipolar uncemented prosthesis was used. According to Broberg and Morrey functional assessment criteria, patients had an excellent course. The mean time elapsed after surgery is 13 months.
Conclusion: We concluded that the radius head prosthesis for type III Masson fractures is a good alternative. Patients may start rehabilitation right away, unlike what occurs with other surgical techniques.
REFERENCES
Morrey BF, Chao EY, Hui FC: Biomechanical study of the elbow following excision of the radial head. J Bone Joint Surg (Am) 1979; 62: 63-8.
Morrey BF, Tanaka S, An KN: Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop 1991; 265: 187-95.
Morrey BF: The elbow and its disorders. Philadelphia London, Toronto: WB Saunders Company; 1985: 73-91.
Morrey BF: Currents concepts in the treatment of fractures of the radial head, the olecranon and the coronoid. J Bone Joint Surg (Am) 1995; 77: 316-27.
Mason ML: Some observations on fractures of the head of the radius with a review of one hundred cases. British J Surg 1954; 42: 123-32.
Johnston GW: A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature. Ulster Med J 1962; 31: 51-6.
Holmenschlager F, Halm JP, Piatek S, Schubert S, Winckler S, Comminuted radial head fractures. Initial experiences with a Judet radial head prosthesis. Unfallchirurg 2002; 105(4): 344-52.
Chien HY, Chen AC, Huang JW, Cheng CY, Hsu KY, Short- to medium-term outcomes of radial head replacement arthroplasty in post-traumatic unstable elbows: 20 to 70 months follow-up. Chang Gung Med J 2010; 33(6): 668-78.
Knight DJ, Rymaszewski LA, Amis AA, Miller JH: Primary replacement of the fractured radial head with a metal prosthesis. J Bone Joint Surg (Br) 1993; 75: 572-6.
Judet T, Massin P, Bayeh PJ: Prothčse de tęte radiale ŕ cupule flottante dans les traumatismes récents et anciens du coude: résultats préliminaires. Rev Chir Orthop 1994; 80: 123-30.
Broberg MA, Morrey BF: Results of delayed excision of the radial head after fracture. J Bone Joint Surg (Am) 1986; 68: 669-74.
Carn RM, Medige J, Curtain D, Koenig A: Silicone rubber replacement of the severely fractured radial head. Clin Orthop 1986; 259: 268-9.
Davidson PA, Moseley JB, Tullos HS: Radial head fracture. A potentially complex injury. Clin Orthop 1993; 297: 224-30.
Morrey BF, An KN, Stormont TJ: Force transmission through the radial head. J Bone Joint Surg (Am) 1988; 70: 250-6.
Mancini GB, Fiacca C, Picutti G: Resection of the radial capitellum. Long-term results. Ital J Orthop Traumatol 1997; 15: 295-302.
Morrey BF, Askew L, Chao EY: Silastic prosthetic replacement for the radial head. J Bone Joint Surg (Am) 1981; 63: 454-8.
Judet T, Garreau de Loubresse C, Piriou P, Charnley G: A floating prosthesis for radial-head fractures. J Bone Joint Surg (Br) 1996; 78: 244-9.
Radin EL, Riseborough EJ: Fractures of the radial head. A review of 88 cases and analysis of the indications for excision of the radial head and non-operative treatment. J Bone Joint Surg (Am) 1966; 48: 1055-64.