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[Experiences with primary osteosynthesis in radial head fractures]
Helvetica Chirurgica Acta
|May 1, 1978
Summary
Reconstructive surgery for displaced radial head fractures offers excellent outcomes. Early surgical intervention with internal fixation is recommended, with careful consideration of associated cartilage avulsions.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Skeletal Repair
Background:
- Displaced radial head fractures often necessitate surgical intervention.
- Radial head resection can lead to elbow instability and distal radioulnar joint issues.
- Prosthetic replacement presents its own set of complications.
Purpose of the Study:
- To evaluate the efficacy of internal fixation for displaced radial head fractures.
- To highlight key operative observations influencing reconstructive surgery indications.
Main Methods:
- Retrospective analysis of 21 internal fixations in 20 patients between 1968 and 1976.
- Use of small screws and plates for fracture stabilization.
Main Results:
- Excellent functional and radiological results in 15 of 19 controlled patients.
- Moderate mobility reduction in 3 patients; one non-union.
- Frequent intraoperative findings included significant fracture displacement, periosteal bridging, and humeral articular cartilage avulsion, often interposed within radial fragments.
Conclusions:
- Reconstructive surgery via internal fixation is a viable and effective treatment for displaced radial head fractures.
- Operative observations regarding fracture complexity and cartilage avulsion should guide surgical decision-making.