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[Comminuted radial head fractures. Initial experiences with a Judet radial head prosthesis]
F Holmenschlager1, J P Halm, S Piatek
1Klinik für Unfallchirurgie, Otto-von-Guericke-Universität Magdeburg, Leipziger Str. 44, 39120 Magdeburg.
Der Unfallchirurg
|June 18, 2002
Summary
The Judet bipolar radial head prosthesis offers advantages over resection or Swanson prosthesis for comminuted radial head fractures. This study found favorable outcomes in 15 patients, indicating its therapeutic potential.
Area of Science:
- Orthopedic surgery
- Traumatology
- Biomaterials
Background:
- Comminuted radial head fractures pose significant treatment challenges.
- Resection and Swanson prosthesis implantation have shown limitations and complications.
Purpose of the Study:
- To evaluate the efficacy of the Judet bipolar radial head prosthesis for comminuted radial head fractures.
- To compare the outcomes of the Judet prosthesis with alternative treatments like resection and Swanson prosthesis.
Main Methods:
- The Judet radial head prosthesis was implanted in 16 patients with Mason type III and IV comminuted radial head fractures.
- Patient follow-up ranged from 12 to 45 months, with an average of 18.2 months.
- Outcomes were assessed using the Radin and Riseborough score and the Morrey score, along with radiological examinations.
Main Results:
- Using the Radin and Riseborough score, 7 cases had good, 6 fair, and 2 poor results.
- The Morrey score indicated 2 excellent, 11 good, and 1 fair/poor result.
- Radiological evaluation revealed no significant increase in the carrying angle, osteoporosis, proximal radius migration, or distal radio-ulnar dissociation.
Conclusions:
- The Judet bipolar prosthesis demonstrates definite advantages over radial head resection or Swanson prosthesis for comminuted fractures.
- It offers a viable treatment option with acceptable functional and radiological outcomes.