Operative Techniques in Orthopaedics
Volume 20, Issue 1 , Pages 2-10 , March 2010

Radial Head—Resect, Fix, or Replace

References 

  1. Odelberg-Johnsson G. On fractures of the proximal portion of the radius and their causes. Acta Radiol. 1924;3:45–53
  2. Mason ML. Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954;42:123–132
  3. Morrey BF, Tanaka S, An KN. Valgus stability of the elbow (A definition of primary and secondary constraints). Clin Orthop Relat Res. 1991;265:187–195
  4. Hotchkiss RN, Weiland AJ. Valgus stability of the elbow. J Orthop Res. 1987;5:372–377
  5. O'Driscoll SW, Bell DF, Morrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 1991;73:440–446
  6. Beingessner DM, Dunning CE, Gordon KD, et al. The effect of radial head excision and arthroplasty on elbow kinematics and stability. J Bone Joint Surg Am. 2004;86-A:1730–1739
  7. Morrey BF, An KN, Stormont , et al. Force transmission through the radial head. J Bone Joint Surg Am. 1988;70:250–256
  8. Rabinowitz RS, Light TR, Havey RM, et al. The role of the interosseous membrane and triangular fibrocartilage complex in forearm stability. J Hand Surg [Am]. 1994;19:385–393
  9. Hotchkiss RN. Displaced fractures of the radial head: Internal fixation or excision?. J Am Acad Orthop Surg. 1997;5:1–10
  10. Rozental TD, Beredjiklian PK, Bozentka DJ. Longitudinal radioulnar dissociation. J Am Acad Orthop Surg. 2003;11:68–73
  11. Sowa DT, Hotchkiss RN, Weiland AJ. Symptomatic proximal translation of the radius following radial head resection. Clin Orthop Relat Res. 1995;317:106–113
  12. Hotchkiss RN. Injuries to the interosseous ligament of the forearm. Hand Clin. 1994;10:391–398
  13. Shepard MF, Markolf KL, Dunbar AM. Effects of radial head excision and distal radial shortening on load-sharing in cadaver forearms. J Bone Joint Surg Am. 2001;83-A:92–100
  14. Greenspan A, Norman A. Radial head-capitellum view: An expanded imaging approach to elbow injury. Radiology. 1987;164:272–274
  15. Hausmann JT, Vekszler G, Breitenseher M, et al. Mason type-I radial head fractures and interosseous membrane lesions-a prospective study. J Trauma. 2009;66:457–461
  16. Johnston GW. A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature. Ulster Med J. 1962;31:51–56
  17. Akesson T, Herbertsson P, Josefsson PO, et al. Primary nonoperative treatment of moderately displaced two-part fractures of the radial head. J Bone Joint Surg Am. 2006;88:1909–1914
  18. Herbertsson P, Josefsson PO, Hasserius R, et al. Uncomplicated Mason type-II and III fractures of the radial head and neck in adults (A long-term follow-up study). J Bone Joint Surg Am. 2004;86-A:569–574
  19. Miller GK, Drennan DB, Maylahn DJ. Treatment of displaced segmental radial-head fractures (Long-term follow-up). J Bone Joint Surg Am. 1981;63:712–717
  20. Holdsworth BJ, Clement DA, Rothwell PN. Fractures of the radial head—The benefit of aspiration: A prospective controlled trial. Injury. 1987;18:44–47
  21. Weseley MS, Barenfeld PA, Eisenstein AL. Closed treatment of isolated radial head fractures. J Trauma. 1983;23:36–39
  22. Radin EL, Riseborough EJ. Fractures of the radial head (A review of eighty-eight cases and analysis of the indications for excision of the radial head and non-operative treatment). J Bone Joint Surg Am. 1966;48:1055–1064
  23. Beingessner DM, Dunning CE, Gordon KD, et al. The effect of radial head fracture size on elbow kinematics and stability. J Orthop Res. 2005;23:210–217
  24. King GJ, Evans DC, Kellam JF. Open reduction and internal fixation of radial head fractures. J Orthop Trauma. 1991;5:21–28
  25. Ikeda M, Yamashina Y, Kamimoto M, et al. Open reduction and internal fixation of comminuted fractures of the radial head using low-profile mini-plates. J Bone Joint Surg Br. 2003;85:1040–1044
  26. Esser RD, Davis S, Taavao T. Fractures of the radial head treated by internal fixation: Late results in 26 cases. J Orthop Trauma. 1995;9:318–323
  27. Caputo AE, Burton KJ, Cohen MS, et al. Articulator cartilage injuries of the capitellum interposed in radial head fractures: A report of ten cases. J Shoulder Elbow Surg. 2006;15:716–720
  28. Herbertsson P, Josefsson PO, Hasserius R, et al. Fractures of the radial head and neck treated with radial head excision. J Bone Joint Surg Am. 2004;86-A:1925–1930
  29. Ikeda M, Oka Y. Function after early radial head resection for fracture: A retrospective evaluation of 15 patients followed for 3-18 years. Acta Orthop Scand. 2000;71:191–194
  30. Goldberg I, Peylan J, Yosipovitch Z. Late results of excision of the radial head for an isolated closed fracture. J Bone Joint Surg Am. 1986;68:675–679
  31. van Riet RP, Morrey BF. Documentation of associated injuries occurring with radial head fracture. Clin Orthop Relat Res. 2008;466:130–134
  32. Ring D. More information on radial head fractures [Letter to the Editor]. J Bone Joint Surg Am. 2004;86-A:569–574
  33. Boulas HJ, Morrey BF. Biomechanical evaluation of the elbow following radial head fracture (Comparison of open reduction and internal fixation vs. excision, silastic replacement, and non-operative management). Chir Main. 1998;17:314–320
  34. Janssen RP, Vegter J. Resection of the radial head after Mason type-III fractures of the elbow: Follow-up at 16 to 30 years. J Bone Joint Surg Br. 1998;80:231–233
  35. Morrey BF, Chao EY, Hui FC. Biomechanical study of the elbow following excision of the radial head. J Bone Joint Surg Am. 1979;61:63–68
  36. Jensen SL, Olsen BS, Sojbjerg JO. Elbow joint kinematics after excision of the radial head. J Shoulder Elbow Surg. 1999;8:238–241
  37. Bain GI, Ashwood N, Baird R, et al. Management of Mason type-III radial head fractures with a titanium prosthesis, ligament repair, and early mobilization (Surgical technique). J Bone Joint Surg Am. 2005;87(suppl 1):136–147
  38. Moro JK, Werier J, MacDermid JC, et al. Arthroplasty with a metal radial head for unreconstructible fractures of the radial head. J Bone Joint Surg Am. 2001;83-A:1201–1211
  39. Morrey BF. Current concepts in the treatment of fractures of the radial head, the olecranon, and the coronoid. Instr Course Lect. 1995;44:175–185
  40. Ring D, Jupiter JB. Fracture-dislocation of the elbow. J Bone Joint Surg Am. 1998;80:566–580
  41. Stephen IB. Excision of the radial head for closed fracture. Acta Orthop Scand. 1981;52:409–412
  42. Taylor TK, O'Connor BT. The effect upon the Inferior radio-ulnar joint of excision of the head of the radius in adults. J Bone Joint Surg Br. 1964;46:83–88
  43. Ikeda M, Sugiyama K, Kang C, et al. Comminuted fractures of the radial head (Comparison of resection and internal fixation). J Bone Joint Surg Am. 2005;87:76–84
  44. Ring D, Quintero J, Jupiter JB. Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg Am. 2002;84-A:1811–1815
  45. Yamaguchi K, Sweet FA, Bindra R, et al. The extraosseous and intraosseous arterial anatomy of the adult elbow. J Bone Joint Surg Am. 1997;79:1653–1662
  46. Patel VR, Elliott DS. Salvage of the head of the radius after fracture-dislocation of the elbow (A case report). J Bone Joint Surg Br. 1999;81:306–308
  47. Burkhart KJ, Mueller LP, Krezdorn D, et al. Stability of radial head and neck fractures: A biomechanical study of six fixation constructs with consideration of three locking plates. J Hand Surg [Am]. 2007;32:1569–1575
  48. Harrington IJ, Tountas AA. Replacement of the radial head in the treatment of unstable elbow fractures. Injury. 1981;12:405–412
  49. Smets S, Govaers K, Jansen N, et al. The floating radial head prosthesis for comminuted radial head fractures: A multicentric study. Acta Orthop Belg. 2000;66:353–358
  50. Carn RM, Medige J, Curtain D, et al. Silicone rubber replacement of the severely fractured radial head. Clin Orthop Relat Res. 1986;209:259–269
  51. Gordon M, Bullough PG. Synovial and osseous inflammation in failed silicone-rubber prostheses. J Bone Joint Surg Am. 1982;64:574–580
  52. Worsing RA, Engber WD, Lange TA. Reactive synovitis from particulate Silastic. J Bone Joint Surg Am. 1982;64:581–585
  53. Ring D. Load-sharing at the wrist following radial head replacement with a metal implant (A cadaveric study). J Bone Joint Surg Am. 2004;86-A:2569;author reply: 2569-2570
  54. Van Glabbeek F, van Riet RP, Baumfeld JA, et al. The kinematic importance of radial neck length in radial head replacement. Med Eng Phys. 2005;27:336–342
  55. Van Glabbeek F, Van Riet RP, Baumfeld JA, et al. Detrimental effects of overstuffing or understuffing with a radial head replacement in the medial collateral-ligament deficient elbow. J Bone Joint Surg Am. 2004;86-A:2629–2635
  56. Furry KL, Clinkscales CM. Comminuted fractures of the radial head (Arthroplasty versus internal fixation). Clin Orthop Relat Res. 1998;353:40–52
  57. Frankle MA, Koval KJ, Sanders RW, et al. Radial head fractures associated with elbow dislocations treated by immediate stabilization and early motion. J Shoulder Elbow Surg. 1999;8:355–360
  58. Grewal R, MacDermid JC, Faber KJ, et al. Comminuted radial head fractures treated with a modular metallic radial head arthroplasty (Study of outcomes). J Bone Joint Surg Am. 2006;88:2192–2200
  59. Harrington IJ, Sekyi-Otu A, Barrington TW, et al. The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: A long-term review. J Trauma. 2001;50:46–52

PII: S1048-6666(09)00109-8

doi: 10.1053/j.oto.2009.08.003

Operative Techniques in Orthopaedics
Volume 20, Issue 1 , Pages 2-10 , March 2010

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