Early radial head excision for displaced and comminuted radial head fractures: Considerations and concerns at long-term follow-up

Cesare Faldini, Matteo Nanni, Danilo Leonetti, Paola Capra, Marco Bonomo, Valentina Persiani, Claudio Galante, Sandro Giannini

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)236-240
Number of pages5
JournalJournal of Orthopaedic Trauma
Volume26
Issue number4
DOIs
Publication statusPublished - Apr 2012

Keywords

  • comminuted radial head fracture
  • displaced radial head fracture
  • early radial head excision
  • long-term follow-up

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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