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Dergiler / Hand and Microsurgery / 2021 / Cilt: 10 - Sayı: 2

Which treatment is more preferable in isolated type 2 radial head fractures: Conservative or operative?

Mesut Tahta
Hakan Ertem
Eyup Cagatay Zengin
Tahir Ozturk
Sayfa
110–115
Yayın Tarihi
2022-10-19
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

We think that comparative randomized prospective studies have been necessitated based on our results.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: The purpose of this study is to compare the results of conservative and surgical treatment of patients with isolated type 2 radial head fractures without additional injuries.
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Temel Bulgular & Veri:Materials and method: Between 2014 and 2019 thirty patients with isolated type 2 radial head fractures without additional injuries were included in the study. 16 of these patients were treated surgically and 14 patients were treated conservatively.
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Sonuç & Katkı:We think that comparative randomized prospective studies have been necessitated based on our results.
🔬Tür:Araştırma Makalesi
📍Kapsam:2014 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The purpose of this study is to compare the results of conservative and surgical treatment of patients with isolated type 2 radial head fractures without additional injuries. Materials and method: Between 2014 and 2019 thirty patients with isolated type 2 radial head fractures without additional injuries were included in the study. 16 of these patients were treated surgically and 14 patients were treated conservatively. Patients were evaluated functionally and radiologically retrospectively in the last control. Results: The mean age of the surgically treated group was 44.5 years. The mean age of the conservatively treated group was found to be 39.2 years. The mean follow-up time was 48.5 months in the surgical group and 38.2 months in the conservatively-treated group. The displacement was 3.75 mm in the surgical group, while it was 3 mm in the conservatively- treated group. Broberg-Morrey score of the surgical group was 83.75, and it was 82.7 In the conservatively treated group. Q-DASH score, the surgical group scored an average of 12,1 points, while the conservatively-treated group was 10.7 points. The mean VAS score was 1.75 in the surgical group. In the conservative group, the mean result was 2.5. Conclusion: There was no radiological and functional difference between the two treatment methods. We think that comparative randomized prospective studies have been necessitated based on our results.

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Bu Makaleye Atıf Yap

Tahta, M., Ertem, H., Zengin, E. C., Ozturk, T. (2022). Which treatment is more preferable in isolated type 2 radial head fractures: Conservative or operative?. Hand and Microsurgery, Cilt: 10 - Sayı: 2, 110–115. https://ajindex.com/articles/527929

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Kaynakça (14)

  1. Kaas L, Van Riet RP, Vroemen JPAM, Eygendaal D. The epidemiology of radial head fractures. J Shoulder Elbow Surg 2010;19:520-3.
  2. Van Riet RP, Roger P, Morrey BF. Documentation of associated injuries occurring with radial head fracture. Clin Orthop Rel Res 2008;466:130-4.
  3. Mason, Mark L. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg 1954;42:123-32.
  4. Broberg MA, Morrey BF. Results of delayed excision of the radial head after fracture. J Bone Joint Surg 1986;68A:669-74.
  5. Yoon A, King GJ, Grewal R. Is ORIF superior to nonoperative treatment in isolated displaced partial articular fractures of the radial head?. Clin Orthop Rel Res 2014;472:2105-12.
  6. Weseley MS, Barenfeld PA, Eisenstein AL. Closed treatment of isolated radial head fractures. J Trauma 1983;23:36-9.
  7. Duckworth AD, Watson BS, Will EM, Petrisor BA, Walmsley PJ, Court-Brown CM. Radial head and neck fractures: functional results and predictors of outcome. J Trauma 2011;71:643–8.
  8. Khalfayan EE, Culp RW, Alexander AH. Mason type II radial head fractures: operative versus nonoperative treatment. J Orthop Trauma 1992;6:283-9.
  9. Van Glabbeek F, Van Riet RP, Verstreken J. Current concepts in the treatment of radial head fractures in the adult. A clinical and biomechanical approach. Acta Orthop Belg 2001;67:430–41.
  10. Morrey BF, Chao EY, Hui FC. Biomechanical study of the elbow following excision of the radial head. J Bone Joint Surg Am 1979;61:63-8.
  11. Morrey BF, An KN, Stormont TJ. Force transmission through the radial head. J Bone Joint Surg Am 1988;70:250-6.
  12. Kaas L, Struijs PA, Ring D, Van Dijk CN, Eygendaal D. Treatment of Mason type II radial head fractures without associated fractures or elbow dislocation: a systematic review. J Hand Surg 2012;37:1416-21.
  13. Furey MJ, Sheps DM, White NJ, Hildebrand KA. A retrospective cohort study of displaced segmental radial head fractures: is 2 mm of articular displacement an indication for surgery? J Shoulder Elbow Surg 2013;22:636-41.
  14. Struijs PAA, Smit G, Steller EP. Radial head fractures: effectiveness of conservative treatment versus surgical intervention. Arch Orthop Trauma Surg 2007;127:125-30.