35-203
Evaluación de resultados en el tratamiento quirúrgico de las fracturas aisladas de cabeza de radio en el adulto.
Assesement of surgical treatment of isolated radial head fractures in adults
J.L. RODRIGO PÉREZ*, J.M. PELAYO DE TOMAS*; M. MORALES SUAREZ-VARELA**; J. CHISMOL ABAD*. *SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO DR. PESET. VALENCIA. **UNIDAD DE INVESTIGACIÓN CLÍNICO-EPIDEMIOLÓGICA. HOSPITAL UNIVERSITARIO DR. PESET. VALENCIA. UNIVERSIDAD DE VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Functional outcome after surgery for isolated radial
head fractures in adults was assessed using three different
outcome assesement approaches and favorable prognostic
factors werw determined. Thirthy-five patiens with radial
head fractures werw operated. Fractures were gruped according
to the Masson classification, and the result obtained was
assessed by means of the hospital for special surgery assessement(
HSSA) system. Broberg and Morrey functional classification
index, and the Mayo Clinic elbow functional assessment
scale. Outcome was good or excellent in over 80% of
cases, with an average flexion of 139 degrees and an extensión
defect of 10 degrees. All three assesement system yielded
statisically significant concordant scores, and were thus
considered to be equivalent. Surgical delay proved to be a
significant prognostic factor of the end result (p<0.05), while
the type of fracture and surgery employed tended to influence
outcome.
head fractures in adults was assessed using three different
outcome assesement approaches and favorable prognostic
factors werw determined. Thirthy-five patiens with radial
head fractures werw operated. Fractures were gruped according
to the Masson classification, and the result obtained was
assessed by means of the hospital for special surgery assessement(
HSSA) system. Broberg and Morrey functional classification
index, and the Mayo Clinic elbow functional assessment
scale. Outcome was good or excellent in over 80% of
cases, with an average flexion of 139 degrees and an extensión
defect of 10 degrees. All three assesement system yielded
statisically significant concordant scores, and were thus
considered to be equivalent. Surgical delay proved to be a
significant prognostic factor of the end result (p<0.05), while
the type of fracture and surgery employed tended to influence
outcome.
Palabras clave (ES):
Cabeza
Mason
Fractura
Aislada
Radio
Codo
Radial
Resumen (EN)
Functional outcome after surgery for isolated radial
head fractures in adults was assessed using three different
outcome assesement approaches and favorable prognostic
factors werw determined. Thirthy-five patiens with radial
head fractures werw operated. Fractures were gruped according
to the Masson classification, and the result obtained was
assessed by means of the hospital for special surgery assessement(
HSSA) system. Broberg and Morrey functional classification
index, and the Mayo Clinic elbow functional assessment
scale. Outcome was good or excellent in over 80% of
cases, with an average flexion of 139 degrees and an extensión
defect of 10 degrees. All three assesement system yielded
statisically significant concordant scores, and were thus
considered to be equivalent. Surgical delay proved to be a
significant prognostic factor of the end result (p<0.05), while
the type of fracture and surgery employed tended to influence
outcome.
head fractures in adults was assessed using three different
outcome assesement approaches and favorable prognostic
factors werw determined. Thirthy-five patiens with radial
head fractures werw operated. Fractures were gruped according
to the Masson classification, and the result obtained was
assessed by means of the hospital for special surgery assessement(
HSSA) system. Broberg and Morrey functional classification
index, and the Mayo Clinic elbow functional assessment
scale. Outcome was good or excellent in over 80% of
cases, with an average flexion of 139 degrees and an extensión
defect of 10 degrees. All three assesement system yielded
statisically significant concordant scores, and were thus
considered to be equivalent. Surgical delay proved to be a
significant prognostic factor of the end result (p<0.05), while
the type of fracture and surgery employed tended to influence
outcome.
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