Comparison of early mobilization protocols in radial head fractures

Journal of Orthopaedic Trauma
Nikolaos K PaschosAnastasios D Georgoulis

Abstract

We compared 2 different protocols of early mobilization with a protocol of delayed mobilization in patients with simple radial head fractures (B2.1 type of Orthopaedic Trauma Association Classification). An attempt to correlate certain characteristics of the radial head fractures with outcome was made. Prospective randomized comparative study. Level 1 trauma center. One hundred eighty consecutive patients were randomly allocated into 3 different protocols. In the first group, immediate mobilization of the elbow joint was applied. In the second, a sling was used for 2 days and then active mobilization was introduced. The third protocol represented the control group where immobilization in a cast for 7 days before the mobilization was applied. Broberg and Morrey score, The American Shoulder and Elbow Surgeons-Elbow score, visual analogue scale, and grip and pinch strength were evaluated. The 2 protocols introducing early mobilization resulted in better outcome compared with immobilization. The first protocol resulted in worse pain in the first 3 days. Range of motion, strength, and functional outcome was better in patients allocated to the second protocol. These differences were more evident in displaced fractures. A fragment dis...Continue Reading

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Citations

Oct 27, 2015·Hand Clinics·Leslie A Fink BarnesMichael Hausman
Dec 15, 2015·Orthopedics·Robert-Jan O de Muinck KeizerNiels W L Schep
Dec 12, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Samer S S MahmoudKhitish Mohanty
Feb 6, 2017·Orthopaedics & Traumatology, Surgery & Research : OTSR·A PeyronnetL Hubert
Feb 18, 2017·Archives of Physical Medicine and Rehabilitation·Linda ResnikJill Cancio
Apr 18, 2018·The Journal of Bone and Joint Surgery. American Volume·Kenneth A EgolSanjit R Konda
Nov 25, 2014·The Cochrane Database of Systematic Reviews·Thanit FoocharoenThavatchai Tiamklang
Jan 2, 2018·The Open Orthopaedics Journal·Robert W Jordan, Alistair Dr Jones
Feb 1, 2013·The Bone & Joint Journal·A D DuckworthD Ring

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