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Does Radial Head Resection Impair Hand and Wrist Function? A Long-Term Follow-Up
Erez Avisar1,2,3, Jonathan Persitz1,2,3, Noam Shohat1,3
1Department of Orthopaedic Surgery, Yitzhak Shamir Medical Center, Tzrifin, Israel.
Journal of Orthopaedic Trauma
|March 27, 2021
Summary
Long-term outcomes following radial head resection for Mason type III fractures show encouraging functional results and high patient satisfaction. This surgery can be a viable alternative when other radial head procedures fail.
Area of Science:
- Orthopaedic Surgery
- Upper Extremity Reconstruction
- Trauma Surgery
Background:
- Isolated Mason type III radial head fractures require surgical intervention.
- Long-term outcomes of radial head resection for these fractures are not well-established.
Purpose of the Study:
- To evaluate the long-term functional and radiographic outcomes of patients who underwent radial head resection for isolated Mason type III radial head fractures.
Main Methods:
- Retrospective case series of 25 patients undergoing radial head resection between 1980 and 2020.
- Clinical and radiographic evaluations included range of motion, strength, and validated patient-reported outcome measures.
- Mean follow-up duration was 18 years.
Main Results:
- Patients demonstrated good functional outcomes and high satisfaction scores (VAS, DASH, Mayo Wrist, Michigan Hand, Oxford Elbow).
- Mean elbow range of motion and grip strength were reduced compared to the contralateral side.
- Mean proximal radial migration was 1.6 mm.
Conclusions:
- Radial head resection offers encouraging long-term functional outcomes for isolated Mason type III fractures.
- This procedure serves as a potential surgical alternative when radial head reconstruction or replacement is not feasible or has failed.
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