[Primary radial head arthroplasty in trauma : Complications].
Radial head fractures are common injuries in elbow trauma. Non-displaced fractures are best treated conservatively. Simple but displaced fractures require anatomic reduction and fixation, typically using screws. The treatment course for complex fractures with multiple fragments is still being debated, as results are less predictable. Radial head resection is not advised if concomitant injuries of the coronoid process or the collateral ligaments with instability are present. Favorable outcomes following open reduction and fixation using plates were reported recently. However, complication rates are very high. Radial head replacement is a valuable tool in treating complex fractures of the radial head with predominantly good and excellent results. Patients who suffer radial head fractures are typically of a younger age, resulting in high functional demands. Certainly, unspecific and specific complications related to radial head arthroplasty were reported in up to 40 % of cases in an acute fracture setting. This article highlights common complications in radial head arthroplasty and aims to present strategies to avoid them.
Abteilung für Unfallchirurgie und Orthopädische Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland. Kay.Schmidt-Horlohe@bgu-frankfurt.de.|Orthopaedicum Wiesbaden, Friedrichstraße 29, 65185, Wiesbaden, Deutschland. Kay.Schmidt-Horlohe@bgu-frankfurt.de.
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K
Schmidt-Horlohé
Abteilung für Unfallchirurgie und Orthopädische Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.
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S
Buschbeck
Abteilung für Unfallchirurgie und Orthopädische Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.
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D
Wincheringer
Orthopädische Klinik König-Ludwig-Haus, Julius-Maximillians-Universität Würzburg, Würzburg, Deutschland.
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M
Weißenberger
Abteilung für Unfallchirurgie und Orthopädische Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.
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Hoffmann
D057929:Arthroplasty, Replacement, Elbow / Q000009:adverse effects*; D004551:Elbow Joint / Q000601:surgery*; D058569:Elbow Prosthesis / Q000009:adverse effects; D019317:Evidence-Based Medicine; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D011885:Radius Fractures / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome; D000092464:Elbow Injuries
Arthroplasty; Elbow joint; Instability, joint; Prosthesis loosening; Radius