TY - JOUR
T1 - Biomechanical evaluation of the elbow following radial head fracture
T2 - Comparison of open reduction and internal fixation vs. excision, silastic replacement, and non-operative management
AU - Boulas, H. J.
AU - Morrey, B. F.
PY - 1998/12/22
Y1 - 1998/12/22
N2 - Thirty-six fractures of the radial head were evaluated following treatment with four different techniques: open reduction and internal fixation (ORIF), excision, silastic replacement, and non-operative management. Clinical assessment included calculation of the Clinical Performance Index based on parameters for motion, stability, pain, and daily function, as well as radiographic evaluation for fracture type (Mason) and the development of degenerative changes. Further assessment included isometric strength measurements for elbow flexion, extension, pronation, supination, and grip. Range of motion and strength measurements were similar, except for grip strength, which was significantly better for ORIF patients compared to excision or silastic replacement groups. Patients with ORIF had the best clinical scores with minimal radiographic changes. When possible, ORIF of displaced radial head fractures appears to provide the best functional result.
AB - Thirty-six fractures of the radial head were evaluated following treatment with four different techniques: open reduction and internal fixation (ORIF), excision, silastic replacement, and non-operative management. Clinical assessment included calculation of the Clinical Performance Index based on parameters for motion, stability, pain, and daily function, as well as radiographic evaluation for fracture type (Mason) and the development of degenerative changes. Further assessment included isometric strength measurements for elbow flexion, extension, pronation, supination, and grip. Range of motion and strength measurements were similar, except for grip strength, which was significantly better for ORIF patients compared to excision or silastic replacement groups. Patients with ORIF had the best clinical scores with minimal radiographic changes. When possible, ORIF of displaced radial head fractures appears to provide the best functional result.
KW - Fracture
KW - ORIF
KW - Radial head
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M3 - Article
C2 - 10855300
AN - SCOPUS:0031796992
VL - 17
SP - 314
EP - 320
JO - Annales de Chirurgie de la Main
JF - Annales de Chirurgie de la Main
SN - 2468-1229
IS - 4
ER -