Aspiration of the elbow joint for treating radial head fractures

2014 ◽  
Author(s):  
Thanit Foocharoen ◽  
Chingching Foocharoen ◽  
Malinee Laopaiboon ◽  
Thavatchai Tiamklang
Keyword(s):  
Radial Head ◽  
Elbow Joint ◽  
Radial Head Fractures

scholarly journals Short- to mid-term outcomes of radial head replacement for complex radial head fractures

2020 ◽  
Vol 23 (4) ◽  
pp. 183-189
Author(s):  
Chung-Sin Baek ◽  
Beom-Soo Kim ◽  
Du-Han Kim ◽  
Chul-Hyun Cho
Keyword(s):  
Heterotopic Ossification ◽  
Radial Head ◽  
Elbow Joint ◽  
Ulnar Neuropathy ◽  
Dash Score ◽  
Radial Head Fractures ◽  
Radial Head Replacement ◽  
The Mean ◽  
Quick Dash

Background: The purpose of the current study was to investigate short- to mid-term outcomes and complications following radial head replacement (RHR) for complex radial head fractures and to identify factors associated with clinical outcomes.Methods: Twenty-four patients with complex radial head fractures were treated by RHR. The mean age of the patients was 49.8 years (range, 19–73 years). Clinical and radiographic outcomes were evaluated for a mean follow-up period of 58.9 months (range, 27–163 months) using the visual analog scale (VAS) score for pain, the Mayo elbow performance score (MEPS), the quick disabilities of the arm, shoulder and hand (Quick-DASH) score, and serial plain radiographs. Complications were also evaluated. Results: At the final follow-up, the mean VAS score, MEPS, and Quick-DASH score were 0.6±1.1, 88.7±11.5, and 19.4±7.8, respectively. The mean range of motion was 132.7o of flexion, 4.7o of extension, 76.2o of pronation, and 77.5o of supination. Periprosthetic lucency was observed in six patients (25%). Heterotopic ossification was observed in four patients (16.7%). Arthritic change of the elbow joint developed in seven patients (29.2%). Capitellar wear was found in five patients (20.8%). Arthritic change of the elbow joint was significantly correlated with MEPS (P=0.047). Four cases of complications (16.6%) were observed, including two cases of major complications (one stiffness with heterotopic ossification and progressive ulnar neuropathy and one stiffness) and two cases of minor complications (two transient ulnar neuropathy).Conclusions: RHR for the treatment of complex radial head fractures yielded satisfactory short- to mid-term clinical outcomes, though radiographic complications were relatively high.

scholarly journals Biomechanical definition of the load on the elbow joint in radial head fractures

TRAUMA ◽  
2017 ◽  
Vol 18 (2) ◽  
pp. 7-16
Author(s):  
I.A. Lazarev ◽  
I.M. Kurennoy ◽  
A.S. Strafun ◽  
M.V. Skiban
Keyword(s):  
Radial Head ◽  
Elbow Joint ◽  
Radial Head Fractures ◽  
Definition Of

Aseptic Destruction of the Elbow Joint after Radial Head Replacement. Case Study

2016 ◽  
Vol 18 (6) ◽  
pp. 583-590
Author(s):  
Marcin Błoński ◽  
Andrzej Boszczyk ◽  
Stanisław Pomianowski ◽  
Mariusz Urban
Keyword(s):  
Radial Head ◽  
Elbow Joint ◽  
Radial Head Fractures ◽  
Routine Treatment ◽  
Radial Head Replacement ◽  
Reduction Of Pain ◽  
Prosthetic Head ◽  
Polyethylene Particles ◽  
Excellent Clinical Outcome

Radial head replacement should be a routine treatment in cases of non-reconstructable radial head fractures. With the growing number of radial head arthroplasties, we are going to see more complications related to this procedure. We describe a case of aseptic destruction of the elbow joint, probably related to the release of polyethylene particles from the prosthetic head. Removal of the implant and extensive synovectomy was performed, leading to an excellent clinical outcome with reduction of pain and increase in the range of motion. The clinical improvement was not accompanied by radiographic change.

scholarly journals Functional outcome of radial head replacement in isolated radial head fractures

2017 ◽  
Vol 3 (3) ◽  
pp. 362
Author(s):  
Rahul Kadam ◽  
Chinmoy Sharma ◽  
Santosh Pandhare ◽  
Abhay Chhallani ◽  
Abhishek Gupta ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Radial Head ◽  
Elbow Joint ◽  
Early Mobilization ◽  
Soft Tissue Reconstruction ◽  
Radial Head Fractures ◽  
Radial Head Replacement ◽  
Replacement Arthroplasty ◽  
Mayo Elbow Score

<p class="abstract"><strong>Background:</strong> Proximal radial fractures are common type of fracture around the elbow joint. These commonly occur after an episode of fall on the outstretched arm. These fractures can occur in isolation or with other associated injuries. Among these comminuted radial head fractures are commonly associated with secondary injuries and instability of the elbow joint. Management of the radial head in such cases is very important in restoring stability of the elbow joint and starting early mobilization. This study will assess functional outcome of radial head replacement in isolated radial head fractures using Mayo elbow performance score<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Over a period of 24 months a total of 18 patients (male 12 and female 6) with isolated radial head fractures were included in the study. All of these patients had MASON type III fractures or above. Radial head replacement arthroplasty was done for irreparable radial head fractures and early mobilization was started. Functional outcome was calculated postoperatively with help of the Mayo elbow score on follow-up at 1, 3 and 6 month interval.<strong></strong></p><p class="abstract"><strong>Results:</strong> On the basis of Mayo elbow performance scores, 13 patients had excellent results; 3 had good results; and 2 had fair results. Mean Mayo elbow score was 88.33 (SD 11.11) after 6 month follow up. None of the patients had elbow instability after radial head replacement<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Treatment of irreparable radial head fractures with radial head prosthesis along with soft-tissue reconstruction shows satisfactory results. Early mobilization of the elbow after operation is the key for restoration of elbow range of motion and function<span lang="EN-IN">.</span></p>

Radial Head Fractures

2021 ◽  
pp. 505-508
Author(s):  
James D. Spearman ◽  
David Ring ◽  
Lee M. Reichel
Keyword(s):  
Radial Head ◽  
Radial Head Fractures

scholarly journals Open reduction and internal fixation with bone grafts for comminuted mason type II radial head fractures

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Guanyi Liu ◽  
Erman Chen ◽  
Dingli Xu ◽  
Weihu Ma ◽  
Leijie Zhou ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Bone Grafts ◽  
Type Ii ◽  
Radial Head Fractures

INTERNAL FIXATION OF RADIAL HEAD FRACTURES WITH AN INTRAMEDULLARY NAIL

2013 ◽  
Vol 25 (01) ◽  
pp. 1350007
Author(s):  
Matija Krkovic ◽  
Miha Brojan ◽  
David Bombac ◽  
Dejan Hermann
Keyword(s):  
Intramedullary Nail ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Vascular Supply ◽  
General Idea ◽  
Stable Fixation ◽  
Radial Head Fractures ◽  
Design And Manufacturing ◽  
Comminuted Fractures ◽  
Thin Walled

Comminuted fractures of the radial head still present significant technical and surgical challenges. In this article, we describe a novel fixation of comminuted radial head fractures with the help of an intramedullary nail. Experiments with solid, conventionally machined intramedullary nails showed some major drawbacks in the fixation of radial head fractures. Several design and manufacturing procedures were proposed. The general idea behind the new design was the concept of a nail which would eliminate the need for prefabricated bores. Experiments with a selective laser sintered thin-walled nail, designed with the help of CT images, fulfilled expectations. This thin-walled proximal radius nail thus offers a stable fixation of the radial head fracture fragments, with the ability to preserve the existing vascular supply to the radial head fragments, and therefore not just use the reconstructed radial head as a bioprosthesis.

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