Comparison between radial head arthroplasty and open reduction and internal fixation in patients with radial head fractures (modified Mason type III and IV): a meta-analysis

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Hao SunFengsheng Li

Abstract

Open reduction and internal fixation (ORIF) and radial head arthroplasty (RHA) are the most common operative treatments in patients with radial head fractures. The purpose of this study was to determine the efficacy of RHA and ORIF treatments in patients with radial head fractures (modified Mason type III and IV). We conducted a computerized search of five electronic databases from their inception to July 2015. All clinical trials comparing ORIF versus RHA treatment in patients with radial head fractures were included. We evaluated the primary outcomes included elbow functional evaluation criteria by Broberg and Morrey, elbow score (Broberg and Morrey), Mayo Elbow Performance Score (MEPS) and QuickDASH score. Secondary outcomes included Visual Analog Scale (VAS), range of motion, operation time and complications. The "assessing risk of bias" table was applied to assess the risk of bias of the included studies. Eight studies were included in this meta-analysis, which consisted of 138 cases of ORIF and 181 RHA. Methodological quality of the studies was moderate to low. RHA afforded significantly higher satisfaction rate, better elbow score (Broberg and Morrey) and MEPS, shorter operation time, lower incidence of bone nonunion or ...Continue Reading

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Citations

Jun 28, 2017·Hand : Official Journal of the American Association for Hand Surgery·Nicholas KusnezovBrian R Waterman
Apr 27, 2019·Hand : Official Journal of the American Association for Hand Surgery·Daniel ReinhardtJacob Brubacher
Jun 11, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Hong-Wei ChenYong-Zhao Zhang
Aug 7, 2019·Archives of Orthopaedic and Trauma Surgery·Jens EverdingBenedikt Schliemann
Jun 9, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kishan GokarajuSertaz-Niel Kang
Dec 4, 2019·The Bone & Joint Journal·Alexander KlugKay Schmidt-Horlohé
Aug 17, 2020·The Journal of Hand Surgery·Alexander KlugKay Schmidt-Horlohé
Dec 18, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Xavier Ohl, Renaud Siboni
Apr 15, 2020·Journal of Shoulder and Elbow Surgery·Rafael Carbonell-EscobarSamuel Antuña
Aug 2, 2021·The Journal of Hand Surgery·Zina ModelCarl M Harper
Sep 28, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tuna PehlivanogluMehmet Demirhan

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