High Risk of Further Surgery After Radial Head Replacement for Unstable Fractures: Longer-term Outcomes at a Minimum Follow-up of 8 Years

Clinical Orthopaedics and Related Research
Caroline D CristofaroAndrew D Duckworth

Abstract

The evidence for treating acute, unreconstructable radial head fractures in unstable elbows with radial head replacement predominantly consists of short- to mid-term follow-up studies with a heterogenous mix of implants and operative techniques. Data on longer-term patient-reported outcomes after radial head replacement is lacking. (1) What proportion of patients undergo revision or implant removal after radial head replacement? (2) At a minimum of 8 years follow-up, what are the patient-reported outcomes (QuickDASH, Oxford Elbow Score, and EuroQol-5D)? (3) What factors are associated with a superior long-term patient-reported outcome, according to the QuickDASH? Between September 1994 and September 2010, we surgically treated 157 patients for acute radial head fractures. We excluded patients where the radial head was excised (n = 21), internally fixed (n = 15), or replaced as a secondary procedure after failed internal fixation (n = 2). A total of 119 patients who underwent radial head replacement surgery for an acute unreconstructable fracture were included, with a mean age of 50 years (range 15 to 93 ± 19 years), and 53% of patients (63) were women. All but two implants were uncemented, loose-fitting, monopolar prostheses, o...Continue Reading

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Citations

May 21, 2020·Hand : Official Journal of the American Association for Hand Surgery·Casey M O'ConnorDavid Ring
Dec 1, 2020·The Bone & Joint Journal·Alexander KlugReinhard Hoffmann
Dec 1, 2020·The Bone & Joint Journal·Alexander KlugReinhard Hoffmann
Jan 24, 2021·Journal of Shoulder and Elbow Surgery·Marc SchnetzkePhilip-Christian Nolte
Apr 4, 2021·Journal of Shoulder and Elbow Surgery·Martin S DaveyLeo Pauzenberger
Aug 28, 2021·Journal of Clinical Medicine·Alvin Chao-Yu ChenYi-Sheng Chan

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