40-222
Tratamiento de las fracturas conminutas de cabeza radial mediante exéresis cabeza radial. Resultados a largo plazo de 18 casos
Fractures comminuted of the radial head treated with radial head resection. Long-term follow-up of eighteen cases
F ALMEIDA HERRERO, JM MARTIN DE ARRIBA, I MONTON MARTINEZ, F GOMAR SANCHO. DEPARTAMENTO DE CIRUGÍA. UNIVERSIDAD DE VALENCIA SERVICIO DE CIRUGÍA Y TRAUMATOLOGÍA ORTOPÉDICA. HOSPITAL CLÍNICO UNIVERSITARIO VALENCIA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Radial head resection is the accepted treatment of
comminuted radial-head fractures in adults. The purpose of
the present study was to evaluate the long-term outcomes of
primary radial head excision. A retrospective study was undertaken
of 18 patients with Mason type III and IV. The average
age at operation was 50 years and the average length of
follow-up was 6,8 years. Only four patients lost 15 degrees or
more of extension of the elbow. Pronation and supination
were decreased by an average of 3,7º and 8,4º respective. According
to the functional classification that we use, the average
of EMPS score was 83,3 with a 88,3% of satisfactory results
and the average of HSSS score was 71,1 with a 94% of
excellent o good results.
comminuted radial-head fractures in adults. The purpose of
the present study was to evaluate the long-term outcomes of
primary radial head excision. A retrospective study was undertaken
of 18 patients with Mason type III and IV. The average
age at operation was 50 years and the average length of
follow-up was 6,8 years. Only four patients lost 15 degrees or
more of extension of the elbow. Pronation and supination
were decreased by an average of 3,7º and 8,4º respective. According
to the functional classification that we use, the average
of EMPS score was 83,3 with a 88,3% of satisfactory results
and the average of HSSS score was 71,1 with a 94% of
excellent o good results.
Palabras clave (ES):
largo
plazo
Conminuta
radial
Cabeza
Codo
Fractura
Radio
Exégesis
Resultados
a
Resumen (EN)
Radial head resection is the accepted treatment of
comminuted radial-head fractures in adults. The purpose of
the present study was to evaluate the long-term outcomes of
primary radial head excision. A retrospective study was undertaken
of 18 patients with Mason type III and IV. The average
age at operation was 50 years and the average length of
follow-up was 6,8 years. Only four patients lost 15 degrees or
more of extension of the elbow. Pronation and supination
were decreased by an average of 3,7º and 8,4º respective. According
to the functional classification that we use, the average
of EMPS score was 83,3 with a 88,3% of satisfactory results
and the average of HSSS score was 71,1 with a 94% of
excellent o good results.
comminuted radial-head fractures in adults. The purpose of
the present study was to evaluate the long-term outcomes of
primary radial head excision. A retrospective study was undertaken
of 18 patients with Mason type III and IV. The average
age at operation was 50 years and the average length of
follow-up was 6,8 years. Only four patients lost 15 degrees or
more of extension of the elbow. Pronation and supination
were decreased by an average of 3,7º and 8,4º respective. According
to the functional classification that we use, the average
of EMPS score was 83,3 with a 88,3% of satisfactory results
and the average of HSSS score was 71,1 with a 94% of
excellent o good results.
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