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Do functional deficits result from radial head resection?

S Fuchs1, C Chylarecki

  • 1Department of Orthopaedics, Westfälische Wilhelms University Münster, Germany.

Journal of Shoulder and Elbow Surgery
|July 2, 1999
PubMed
Summary
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Primary radial head resection for comminuted fractures yielded better outcomes than secondary resection. Early treatment improved functional recovery and reduced daily life limitations for patients with radial head fractures.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomechanics

Background:

  • Treatment of comminuted radial head fractures via resection is debated.
  • Assessing outcomes of radial head resection requires comprehensive follow-up.

Purpose of the Study:

  • To evaluate the clinical and radiological outcomes of radial head resection for comminuted fractures.
  • To compare the results of primary versus secondary radial head resection.
  • To assess functional recovery using isokinetic testing.

Main Methods:

  • Retrospective study of 151 patients undergoing radial head resection (1981-1992).
  • Patients categorized into primary (<2 weeks), early secondary (3 weeks-6 months), and late secondary (>6 months) treatment groups.
  • Clinical, radiological, and isokinetic testing follow-up conducted on 108 patients at an average of 6 years post-operation.

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Main Results:

  • Radial head fractures occurred in isolation in 64% of patients; 26% had associated elbow dislocations.
  • Patients treated with primary resection demonstrated superior clinical and isokinetic test results compared to secondary resection groups.
  • Primary resection led to no daily life restrictions in 45% and no work limitations in 64% of patients.

Conclusions:

  • Primary radial head resection appears to offer better functional outcomes than delayed (secondary) resection for comminuted fractures.
  • Early surgical intervention may optimize recovery and minimize long-term functional deficits after radial head resection.