[A comparative study of the treatment of fractures of the radial head by resection or by Swanson silastic implant].
The authors report 62 fractures of the head of the radius treated either by excision or silastic implant arthroplasty. Fifty-two patients were reviewed with a mean follow-up period of 5 years (range 1 to 13). Of 22 prosthetic replacements, 12 were satisfactory while of 30 excisions only 10 were rated good or excellent. Excision usually yielded valgus deformity of the elbow (range 9 to 35 degrees) and with a risk of shortening of the radius. Range of flexion-extension was identical after both procedures but pronation supination was better after prosthesis replacement (78/70) than after radial head excision (65/60) 3 fractures of the implant were found at 6, 9 and 10 years postoperatively; only one of them was associated with pain and required removal of the loose fragments.
Berger
M
M
Service d'Orthopédie-Traumatologie D, CHR de Litte.
Urvoy
P
P
Mestdagh
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology; D010027:Osteotomy / Q000379:methods; D011403:Pronation / Q000502:physiology; D019736:Prostheses and Implants; D011474:Prosthesis Design; D011884:Radius / Q000473:pathology / Q000503:physiopathology; D011885:Radius Fractures / Q000145:classification / Q000601:surgery*; D012826:Silicone Elastomers; D013484:Supination / Q000502:physiology; D014955:Wrist Joint / Q000473:pathology / Q000503:physiopathology
D012826:Silicone Elastomers
Etude comparative du traitement des fractures de la tête radiale par résection ou par implant en silastic de Swanson.