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Date Published: 03/11/2023
Online Published: 20/11/2023
Abstract Views: 292
Views PDF: 164
DOI: https://doi.org/10.58490/ctump.2023i68.2258
Issue
No. 68 (2023)
Section
Article
How to Cite
Do, H. P., & Nguyen, V. T. (2023). TREATMENT OF RADIAL HEAD FRACTURE IN ADULT WITH LOCKING PLATE. Cantho Journal of Medicine and Pharmacy, 68, 131-138. https://doi.org/10.58490/ctump.2023i68.2258

TREATMENT OF RADIAL HEAD FRACTURE IN ADULT WITH LOCKING PLATE

Hong Phuc Do1,, Van Thai Nguyen1
1 Pham Ngoc Thach University of Medicine

Main Article Content

Abstract

Background: Radial head is a common injury with many treatment methods. Each of them has different pros and cons. Locking plate for radial head fracture is a new method for comminuted fracures and limited subchondral bone. Objective: To evaluate the ability to maintian anatomic reduction, bone heal and possibility of complication. Materials and methods: A retrospective case series study on 41 patients with radial head fracture were treated with locking plate at Hospital for Traumatology and Orthopaedics from 01/2020 to 04/2021. Mean follow up time was 14.2 months. Results: Bone heal was archived in 100% cases. Exellent -good rate is 95.1% in ASES-E and Broberg-Morrey score, average rate is 4.9%. 5 cases has complication: 2 superficial infections, 3 short-term PIN injuries which recover after 1 month. Conclusion: Locking plate ostheosynthesis is a effective method in treatment of radial head fracture with high bone heal rate, good funtional recovery and minimal complication.

Article Details

Keywords

Radial head, ostheosynthesis, locking plate

References

1. Antuna, Sanchez-Marquez, J. M., and Barco, R. Long-term results of radial head resection following isolated radial head fractures in patients younger than forty years old, The Journal of bone and joint surgery. American volume. 2010. 92(3), 558-66.doi:10.2106/JBJS.I.00332
2. MASAYOSHI IKEDA, et al. Comminuted Fractures of the Radial Head Comparison Of Resection And Internal Fixation, the journal of bone and joint surgery. 87-A(1), doi:
10.2106/JBJS.C.01323.
3. Koslowsky, T. C., et al. Reconstruction of a Mason type-III fracture of the radial head using four different fixation techniques. An experimental study, J Bone Joint Surg Br. 2007. 89(11), 1545-50.doi:10.1302/0301-620x.89b11.19433
4. Lindenhovius, A. L., et al. The long-term outcome of open reduction and internal fixation of stable displaced isolated partial articular fractures of the radial head, J Trauma. 2009. 67(1), 143-6.doi:10.1097/TA.0b013e31818234d6
5. Zwingmann, J., et al. Clinical results after different operative treatment methods of radial head and neck fractures: a systematic review and meta-analysis of clinical outcome, Injury. 2013. 44(11), 1540-50. doi:10.1016/j.injury.2013.04.003
6. Gruszka, D., et al. Complex radial head and neck fractures treated with modern locking plate fixation, J Shoulder Elbow Surg. 2019. 28(6), 1130-1138.doi:10.1016/j.jse.2018.11.056
7. Kusnezov, N., et al. Operative Management of Unstable Radial Head Fractures in a Young Active Population, Hand (N Y). 2018. 13(4), 473-480.doi:10.1177/1558944717715136
8. van Riet, R. P. and Morrey, B. F. Documentation of associated injuries occurring with radial head fracture, Clin Orthop Relat Res. 2008. 466(1), 130-4.doi:10.1007/s11999-007-0064-8
9. Ring, D., et al. Nonunion of nonoperatively treated fractures of the radial head, Clin Orthop Relat Res(398), 2002. 235-8.doi:10.1097/00003086-200205000-00032
10. Yamaguchi, K., et al. The extraosseous and intraosseous arterial anatomy of the adult elbow, J Bone Joint Surg Am. 1997. 79(11), 1653-62.doi:10.2106/00004623-199711000-00007
11. Crönlein, M., et al. Using an anatomically preshaped low-profile locking plate system leads to reliable results in comminuted radial head fractures, Arch Orthop Trauma Surg. 2017. 137(6), 789-795.doi:10.1007/s00402-017-2693-z
12. Wu, P. H., Shen, L., and Chee, Y. H. Screw fixation versus arthroplasty versus plate fixation for 3-part radial head fractures, J Orthop Surg (Hong Kong). 2016. 24(1), 57-61.doi:10.1177/230949901602400114
13. Giannicola, G., et al. Anatomical variations of the proximal radius and their effects on osteosynthesis, J Hand Surg Am. 2012. 37(5), 1015-23.doi:10.1016/j.jhsa.2012.02.005
14. Kupperman, E. S., Kupperman, A. I., and Mitchell, S. A. Treatment of Radial Head Fractures and Need for Revision Procedures at 1 and 2 Years, J Hand Surg Am. 2018. 43(3), 241247.doi:10.1016/j.jhsa.2017.10.022
15. Beingessner Dm And Bmath, Bsc, Msc, Md, Frcsc, Cynthia E. Dunning, Msc, Phd, Peng,Karen D. Gordon, Bsceng, Phd, James A. Johnson, Phd, Peng, And Graham J.W. King, Md, Msc, Frcsc The Effect of Radial Head Excision and Arthroplasty on Elbow Kinematics and Stability, The Journal Of Bone And Joint Surgery, 2004. 86-A(8), doi: 10.2106/00004623-200408000-00018.
16. Kovacevic, D., Vogel, L. A., and Levine, W. N. Complex Elbow Instability: Radial Head and Coronoid, Hand Clin. 2015. 31(4), 547-56.doi:10.1016/j.hcl.2015.06.004
17. Guitton, T. G., et al. Diagnostic accuracy of two-dimensional and three-dimensional imaging and modeling of radial head fractures, J Hand Microsurg. 2014. 6(1), 13-7.doi:10.1007/s12593013-0107-1.