[Comminuted radial head fractures. Initial experiences with a Judet radial head prosthesis].
OBJECTIVE
Comminuted fractures of the radial head represent a particular therapeutic problem. Due to characteristic complications the resection as well as the implantation of the Swanson-prothesis could not convince.


METHODS
We applied the radial head prothesis of Judet in 16 cases (14 type IV and 4 type III by Mason).


RESULTS
At the moment we survey the follow up of 15 patients after 12 to 45 months (average 18.2), the evaluation was performed using the score of Radin and Riseborough and the score of Morrey. With the score of Radin and Riseborough we found in 7 cases good, in 6 case fair and in 2 case poor results. With the score of Morrey we found 2 excellent, 11 good and 1 fair and poor results. The radiological examination did not show an increase of the carrying angle of the elbow, an osteoporosis, a proximal migration of the radius and a distal radio-ulnar dissociation.


CONCLUSIONS
Compared with resection or Swanson-prothesis the bipolar prothesis of Judet has definite advantages.
Holmenschlager
F
F
Klinik für Unfallchirurgie, Otto-von-Guericke-Universität Magdeburg, Leipziger Str. 44, 39120 Magdeburg.
Halm
J P
JP
Piatek
S
S
Schubert
S
S
Winckler
S
S
D000328:Adult; D000368:Aged; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000092464:Elbow Injuries
Radiusköpfchentrümmerfrakturen. Erste Erfahrungen mit der Radiusköpfchenprothese von Judet.