Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures
Background The purpose of this study is to analyze the results of treating unreconstructable acute radial head fractures associated with other elbow fractures and soft-tissue injuries with a pyrocarbon radial head prosthesis replacement, as well as repair of the associated injuries. Materials and me...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2012, Vol.21 (1), p.82-91 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Ricón, F. Javier, MD Sánchez, Plácido, MD Lajara, Francisco, MD Galán, Adolfo, MD Lozano, Juan A., PhD, MD Guerado, Enrique, PhD, MD |
| description | Background The purpose of this study is to analyze the results of treating unreconstructable acute radial head fractures associated with other elbow fractures and soft-tissue injuries with a pyrocarbon radial head prosthesis replacement, as well as repair of the associated injuries. Materials and methods Twenty-eight patients with Mason type III unreconstructable and unstable radial head fractures and with associated injuries (according to Hotchkiss classification modified by van Riet) were treated with a pyrocarbon radial head prosthesis replacement; repair of collateral ligaments and associated elbow fractures was also carried out. Patients were evaluated in accordance with the Mayo Elbow Performance Score, measuring pain, grip strength, range of motion, and stability, as well as radiographic images. Results After a mean of 32 months postoperatively (range, 12-62 months), the mean Mayo Elbow Performance Score was 92 points. The result was considered excellent or good in 25 patients, with a high degree of satisfaction and functional restoration. Conclusion The results of treating Mason type III radial head fractures with additional elbow fractures and soft-tissue injuries with pyrocarbon radial head prostheses are satisfactory; nevertheless, long-term follow-up is still necessary. |
| doi_str_mv | 10.1016/j.jse.2011.01.032 |
| format | Article |
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Javier, MD ; Sánchez, Plácido, MD ; Lajara, Francisco, MD ; Galán, Adolfo, MD ; Lozano, Juan A., PhD, MD ; Guerado, Enrique, PhD, MD</creator><creatorcontrib>Ricón, F. Javier, MD ; Sánchez, Plácido, MD ; Lajara, Francisco, MD ; Galán, Adolfo, MD ; Lozano, Juan A., PhD, MD ; Guerado, Enrique, PhD, MD</creatorcontrib><description>Background The purpose of this study is to analyze the results of treating unreconstructable acute radial head fractures associated with other elbow fractures and soft-tissue injuries with a pyrocarbon radial head prosthesis replacement, as well as repair of the associated injuries. Materials and methods Twenty-eight patients with Mason type III unreconstructable and unstable radial head fractures and with associated injuries (according to Hotchkiss classification modified by van Riet) were treated with a pyrocarbon radial head prosthesis replacement; repair of collateral ligaments and associated elbow fractures was also carried out. Patients were evaluated in accordance with the Mayo Elbow Performance Score, measuring pain, grip strength, range of motion, and stability, as well as radiographic images. Results After a mean of 32 months postoperatively (range, 12-62 months), the mean Mayo Elbow Performance Score was 92 points. The result was considered excellent or good in 25 patients, with a high degree of satisfaction and functional restoration. Conclusion The results of treating Mason type III radial head fractures with additional elbow fractures and soft-tissue injuries with pyrocarbon radial head prostheses are satisfactory; nevertheless, long-term follow-up is still necessary.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2011.01.032</identifier><identifier>PMID: 21531150</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Diseases of the osteoarticular system ; Elbow ; elbow dislocation ; Elbow Joint - diagnostic imaging ; Elbow Joint - injuries ; Elbow Joint - surgery ; elbow prosthesis ; Female ; Fracture Fixation, Internal - methods ; Fractures, Comminuted - diagnosis ; Fractures, Comminuted - physiopathology ; Fractures, Comminuted - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Orthopedics ; Polymers ; Prostheses and Implants ; Prosthesis Design ; pyrocarbon implant ; radial head fracture ; Radiography ; Radius Fractures - diagnosis ; Radius Fractures - physiopathology ; Radius Fractures - surgery ; Range of Motion, Articular ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of shoulder and elbow surgery, 2012, Vol.21 (1), p.82-91</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2012 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-ab233e7ba401697e06eefe30f464c692b2ab3df146e1b858c40886fcdbb5ead53</citedby><cites>FETCH-LOGICAL-c437t-ab233e7ba401697e06eefe30f464c692b2ab3df146e1b858c40886fcdbb5ead53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1058274611000450$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25638444$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21531150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ricón, F. Javier, MD</creatorcontrib><creatorcontrib>Sánchez, Plácido, MD</creatorcontrib><creatorcontrib>Lajara, Francisco, MD</creatorcontrib><creatorcontrib>Galán, Adolfo, MD</creatorcontrib><creatorcontrib>Lozano, Juan A., PhD, MD</creatorcontrib><creatorcontrib>Guerado, Enrique, PhD, MD</creatorcontrib><title>Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Background The purpose of this study is to analyze the results of treating unreconstructable acute radial head fractures associated with other elbow fractures and soft-tissue injuries with a pyrocarbon radial head prosthesis replacement, as well as repair of the associated injuries. Materials and methods Twenty-eight patients with Mason type III unreconstructable and unstable radial head fractures and with associated injuries (according to Hotchkiss classification modified by van Riet) were treated with a pyrocarbon radial head prosthesis replacement; repair of collateral ligaments and associated elbow fractures was also carried out. Patients were evaluated in accordance with the Mayo Elbow Performance Score, measuring pain, grip strength, range of motion, and stability, as well as radiographic images. Results After a mean of 32 months postoperatively (range, 12-62 months), the mean Mayo Elbow Performance Score was 92 points. The result was considered excellent or good in 25 patients, with a high degree of satisfaction and functional restoration. Conclusion The results of treating Mason type III radial head fractures with additional elbow fractures and soft-tissue injuries with pyrocarbon radial head prostheses are satisfactory; nevertheless, long-term follow-up is still necessary.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Elbow</subject><subject>elbow dislocation</subject><subject>Elbow Joint - diagnostic imaging</subject><subject>Elbow Joint - injuries</subject><subject>Elbow Joint - surgery</subject><subject>elbow prosthesis</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures, Comminuted - diagnosis</subject><subject>Fractures, Comminuted - physiopathology</subject><subject>Fractures, Comminuted - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>Polymers</subject><subject>Prostheses and Implants</subject><subject>Prosthesis Design</subject><subject>pyrocarbon implant</subject><subject>radial head fracture</subject><subject>Radiography</subject><subject>Radius Fractures - diagnosis</subject><subject>Radius Fractures - physiopathology</subject><subject>Radius Fractures - surgery</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFDEQgBtR3HX1B3iRXMRTj3l1TzeCsCw-FhYWVr0aknSFTdudHlNpYf69Ncyo4GGhIDl89fqqql4KvhFctG_HzYiwkVyIDadQ8lF1Lhol67bh_DH9edPVcqvbs-oZ4sg57zWXT6szSZQQDT-vvt8BrlNhS2CW7fZ58Ta7JbFdXrDcA0ZkNhTIzC_zHNNaYGA2DWxNGfySsOTVF-smYNkO0U7sHuzAQra-rBnwefUk2Anhxem9qL59_PD16nN9c_vp-urypvZabUttnVQKts5qWqvfAm8BAigedKt920snrVNDELoF4bqm85p3XRv84FxD_Rp1Ub051qW5f66AxcwRPUyTTbCsaHohei1V1xMpjqSnDTFDMLscZ5v3RnBzsGpGQ1bNwarhFEpSzqtT9dXNMPzN-KORgNcnwKK3E62ffMR_XNOqTmtN3LsjB-TiV4Rs0EdIHoZIOosZlvjgGO__y_ZTTJEa_oA94LisOZFkIwxKw82Xw_kP1xeCLq9pzN8V96tJ</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Ricón, F. Javier, MD</creator><creator>Sánchez, Plácido, MD</creator><creator>Lajara, Francisco, MD</creator><creator>Galán, Adolfo, MD</creator><creator>Lozano, Juan A., PhD, MD</creator><creator>Guerado, Enrique, PhD, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures</title><author>Ricón, F. Javier, MD ; Sánchez, Plácido, MD ; Lajara, Francisco, MD ; Galán, Adolfo, MD ; Lozano, Juan A., PhD, MD ; Guerado, Enrique, PhD, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-ab233e7ba401697e06eefe30f464c692b2ab3df146e1b858c40886fcdbb5ead53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Elbow</topic><topic>elbow dislocation</topic><topic>Elbow Joint - diagnostic imaging</topic><topic>Elbow Joint - injuries</topic><topic>Elbow Joint - surgery</topic><topic>elbow prosthesis</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures, Comminuted - diagnosis</topic><topic>Fractures, Comminuted - physiopathology</topic><topic>Fractures, Comminuted - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>Polymers</topic><topic>Prostheses and Implants</topic><topic>Prosthesis Design</topic><topic>pyrocarbon implant</topic><topic>radial head fracture</topic><topic>Radiography</topic><topic>Radius Fractures - diagnosis</topic><topic>Radius Fractures - physiopathology</topic><topic>Radius Fractures - surgery</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ricón, F. Javier, MD</creatorcontrib><creatorcontrib>Sánchez, Plácido, MD</creatorcontrib><creatorcontrib>Lajara, Francisco, MD</creatorcontrib><creatorcontrib>Galán, Adolfo, MD</creatorcontrib><creatorcontrib>Lozano, Juan A., PhD, MD</creatorcontrib><creatorcontrib>Guerado, Enrique, PhD, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ricón, F. Javier, MD</au><au>Sánchez, Plácido, MD</au><au>Lajara, Francisco, MD</au><au>Galán, Adolfo, MD</au><au>Lozano, Juan A., PhD, MD</au><au>Guerado, Enrique, PhD, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2012</date><risdate>2012</risdate><volume>21</volume><issue>1</issue><spage>82</spage><epage>91</epage><pages>82-91</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Background The purpose of this study is to analyze the results of treating unreconstructable acute radial head fractures associated with other elbow fractures and soft-tissue injuries with a pyrocarbon radial head prosthesis replacement, as well as repair of the associated injuries. Materials and methods Twenty-eight patients with Mason type III unreconstructable and unstable radial head fractures and with associated injuries (according to Hotchkiss classification modified by van Riet) were treated with a pyrocarbon radial head prosthesis replacement; repair of collateral ligaments and associated elbow fractures was also carried out. Patients were evaluated in accordance with the Mayo Elbow Performance Score, measuring pain, grip strength, range of motion, and stability, as well as radiographic images. Results After a mean of 32 months postoperatively (range, 12-62 months), the mean Mayo Elbow Performance Score was 92 points. The result was considered excellent or good in 25 patients, with a high degree of satisfaction and functional restoration. Conclusion The results of treating Mason type III radial head fractures with additional elbow fractures and soft-tissue injuries with pyrocarbon radial head prostheses are satisfactory; nevertheless, long-term follow-up is still necessary.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21531150</pmid><doi>10.1016/j.jse.2011.01.032</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Diseases of the osteoarticular system Elbow elbow dislocation Elbow Joint - diagnostic imaging Elbow Joint - injuries Elbow Joint - surgery elbow prosthesis Female Fracture Fixation, Internal - methods Fractures, Comminuted - diagnosis Fractures, Comminuted - physiopathology Fractures, Comminuted - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Orthopedic surgery Orthopedics Polymers Prostheses and Implants Prosthesis Design pyrocarbon implant radial head fracture Radiography Radius Fractures - diagnosis Radius Fractures - physiopathology Radius Fractures - surgery Range of Motion, Articular Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents Treatment Outcome Young Adult |
| title | Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures |
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