title: [Middle-term results of a Silastic prosthesis used as a temporary spacer for unreconstructable radial head fractures].
abstract: This study reports the use of silicone prosthesis as a temporary spacer for comminuted fracture of the radial head. Twelve men and eight women with a mean age of 42 years (17-54) were operated on in an average of five days following a comminuted fracture of the radial head. Silicone radial head prosthesis was implanted with a mean duration of eight months (3-18) between implantation and removal. At a mean period of five years after initial surgery, the mean DASH score was 40 (24-82), the mean MEPS score was 86 (60-100) giving ten excellent results, five good and five means. At the last clinical follow-up, the average flexion was 127° (90-140) and 152° (50-180) for pronation-supination. Regarding our results, early removal of the Silastic implant prevented possible synovitis and failure of silicone implant. The stability of the elbow was obtained in all cases with association of a medial collateral ligament repair in case of instability. The use of a silicone radial head implant as a temporary spacer in case of radial head fracture type Mason III or IV seems to be a possible alternative to metal prostheses, whose implantation technique is demanding and sometimes not recommendable in young patients.
authors.affiliation: Unité de chirurgie du membre supérieur, service de chirurgie orthopédique, centre hospitalier et universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Petitjean
authors.affiliation: Unité de chirurgie du membre supérieur, service de chirurgie orthopédique, centre hospitalier et universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
authors.forename: H
authors.initials: H
authors.lastname: Thomazeau
authors.affiliation: Unité de chirurgie du membre supérieur, service de chirurgie orthopédique, centre hospitalier et universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
authors.forename: T
authors.initials: T
authors.lastname: Dréano
authors.affiliation: Unité de chirurgie du membre supérieur, service de chirurgie orthopédique, centre hospitalier et universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
authors.forename: D
authors.initials: D
authors.lastname: Huten
authors.affiliation: Unité de chirurgie du membre supérieur, service de chirurgie orthopédique, centre hospitalier et universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. Electronic address: mickael.ropars@chu-rennes.fr.
authors.forename: M
authors.initials: M
authors.lastname: Ropars
mesh_terms: D000293:Adolescent; D000328:Adult; D004129:Dimethylpolysiloxanes; D005260:Female; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D011474:Prosthesis Design; D011885:Radius Fractures / Q000601:surgery*; D013997:Time Factors; D055815:Young Adult; D000092464:Elbow Injuries
chemical_list: D004129:Dimethylpolysiloxanes; C013830:baysilon
keywords: Espaceur; Fracture; Prosthesis; Prothèse; Radial head fracture; Silastic; Silicone; Spacer; Tête radiale