The Early Outcomes with Titanium Radial Head Implants in the Treatment of Radial Head Comminuted Fractures

• Published in: Journal of Huazhong University of Science and Technology. Medical sciences Vol. 27; no. 6; pp. 681 - 683
• Main Author: 赵继军 杨述华 胡勇
• Format: Journal Article
• Language: English
• Published: China Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China%Department of Orthopedics, Ningbo No. 6 Hospital, Ningbo 315040, China 01.12.2007
• Subjects: Adult; Elbow Joint - surgery; Female; Fracture Fixation - methods; Fractures, Comminuted - surgery; Humans; Male; Middle Aged; Prostheses and Implants; Radius Fractures - surgery; Titanium; Treatment Outcome; 粉碎性骨折; 钛片植入; 颅脑损伤; 骨接合剂; hone cement; radial head; replacement; fracture
• ISSN: 1672-0733; 1993-1352
• DOI: 10.1007/s11596-007-0616-x

The study assessed the early functional outcomes with cemented titanium implants of radius in the treatment of comminuted fractures of radial heads. The functional outcomes of arthro- plasty with cemented titanium implants of radius in the treatment of radial head fractures （Mason Type Ⅲ： 6; Mason Type Ⅳ： 4） in l0 consecutive patients （mean age, 38 years） were evaluated over a mean time of 23.7 months （18-31 months）. The patients were assessed on the basis of physical examination, functional rating （Mayo） and radiographic findings. The parameters evaluated included motion, stability, pain, and grip strength. Five patients were considered to have excellent results, 4 patients had good results and l patient had fairly good results. There were no cases of infection, prosthetic failure, heterotopic ossification or dislocation. When medial collateral ligament was injured, radial head became the main stabilizing structure of the elbow. Titanium radial head implant may provide the stability similar to that of native radial head. We believe that titanium radial head im- plants may be indicated for the Mason Type Ⅲ and Mason Type IV radial head fractures.