Exéresis de la cabeza radial vs prótesis de sustitución en las fracturas complejas de la cabeza del radio

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Exéresis de la cabeza radial vs prótesis de sustitución en las fracturas complejas de la cabeza del radio

Radial head escisión vs prothesic sustitution for the treatment of complex radial head fractures

N. SAUS MILAN, F. ARGÜELLES, S. GUIJARRO, F. ALMEIDA, F. GOMAR SERVICIO TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA. DEPARTAMENTO DE CIRUGÍA DE LA UNIVERSIDAD DE VALENCIA.

Recepción:

08/07/2013

Aceptación:

08/07/2013

Publicación:

23/07/2013

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140

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Resumen (ES)

The aim of this study was to describe our results in the treatment of Mason III radial head fractures and compare the outcomes of the radial head excision and prosthetic replacement. We performed a restropective study of radial head fractures treated in our departmet. Were included for the study 26 patients with Mason III radial head fractures. The follow-up time was 28 months. A total 14 patients (56%) were treated by excision of the radial head (Group A) and 12 patients (44%) were treated by the prothesis (Group B), The functional results according to the Broberg-Morrey scale were 4 patients excellent, very good 15 patients, 6 patients regular and 1 patient bad. When comparing group A with group B there were no differences in age, sex, and postoperative functional outcomes, however, patients in group A had better functional outcomes when grouped excellent and good results (75%).

Palabras clave (ES):

Tratamiento quirúrgico

Antebrazo

Codo

Cirugía

Extirpación

Exéresis

Artroplastia

Prótesis

Fractura cabeza de radio

Resumen (EN)

The aim of this study was to describe our results in the treatment of Mason III radial head fractures and compare the outcomes of the radial head excision and prosthetic replacement. We performed a restropective study of radial head fractures treated in our departmet. Were included for the study 26 patients with Mason III radial head fractures. The follow-up time was 28 months. A total 14 patients (56%) were treated by excision of the radial head (Group A) and 12 patients (44%) were treated by the prothesis (Group B), The functional results according to the Broberg-Morrey scale were 4 patients excellent, very good 15 patients, 6 patients regular and 1 patient bad. When comparing group A with group B there were no differences in age, sex, and postoperative functional outcomes, however, patients in group A had better functional outcomes when grouped excellent and good results (75%).

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