[Treatment of displaced and comminuted multifragment fractures of the head of the radius: is resection a therapeutic option?].
The treatment of displaced comminuted fractures of the radial head type III of the Mason classification is still controversial. The restoration of anatomy including additional lesions with a stable fixation is a prerequisite of early mobilisation. Removal of the radial head, in case of severe comminution, and complete separation of the fragments from the radial neck remain the exception. Insertion of a prosthesis as a spacer is only recommended if there is a remaining instability of the elbow after resection of the radial head. With this treatment modality we have 22/29 good to very good results evaluated by the Morrey score after a follow-up period of 8 years (4-11 years).
Département de chirurgie de l'Université, Hôpital cantonal, Bâle.
M
M
Jung
R
R
Babst
R
R
Rosso
N
N
Renner
P
P
Regazzoni
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004551:Elbow Joint / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000145:classification / Q000601:surgery*; D000092464:Elbow Injuries
Traitement des fractures plurifragmentaires déplacées et comminutives de la tête du radius: la résection est-elle une option thérapeutique?