Orthopaedic Surgery and Traumatology Service, Vega Baja Hospital, Orihuela, Alicante, Spain.
J Shoulder Elbow Surg. 2012 Jan;21(1):82-91. doi: 10.1016/j.jse.2011.01.032. Epub 2011 Apr 29.
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.
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.
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.
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.
本研究旨在分析采用热解碳头假体置换治疗不可重建的急性桡骨头骨折伴其他肘部骨折和软组织损伤，并修复相关损伤的结果。
对 28 例 Mason Ⅲ型不可重建和不稳定桡骨头骨折伴相关损伤（根据 Hotchkiss 分类法改良 van Riet 法）的患者进行热解碳头假体置换治疗；同时修复侧副韧带和相关的肘部骨折。根据 Mayo 肘部功能评分评估患者，测量疼痛、握力、活动范围和稳定性，以及影像学图像。
术后平均随访 32 个月（范围，12-62 个月），平均 Mayo 肘部功能评分为 92 分。25 例患者的结果被认为是优秀或良好，满意度和功能恢复程度高。
采用热解碳头假体治疗 Mason Ⅲ型桡骨头骨折伴附加肘部骨折和软组织损伤的结果是令人满意的；然而，仍需要长期随访。
