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Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study

Background: Fractures of the radial head are common injuries, whereas, in the case of displaced fractures, surgical treatment using screw or plate osteosynthesis, excision, or replacement of the radial head is required. However, data about patient-related outcomes (PROM) for different types of radia...

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Autores principales: Müller, Michael, Mann, Verena, Zapf, Julian, Kirchhoff, Konstantin, Zyskowski, Michael, Biberthaler, Peter, Kirchhoff, Chlodwig, Wurm, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10532215/
https://www.ncbi.nlm.nih.gov/pubmed/37762809
http://dx.doi.org/10.3390/jcm12185870
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author Müller, Michael
Mann, Verena
Zapf, Julian
Kirchhoff, Konstantin
Zyskowski, Michael
Biberthaler, Peter
Kirchhoff, Chlodwig
Wurm, Markus
author_facet Müller, Michael
Mann, Verena
Zapf, Julian
Kirchhoff, Konstantin
Zyskowski, Michael
Biberthaler, Peter
Kirchhoff, Chlodwig
Wurm, Markus
author_sort Müller, Michael
collection PubMed
description Background: Fractures of the radial head are common injuries, whereas, in the case of displaced fractures, surgical treatment using screw or plate osteosynthesis, excision, or replacement of the radial head is required. However, data about patient-related outcomes (PROM) for different types of radial head fractures is limited in the current literature. Therefore, this study was conducted to evaluate the functional outcome after operatively treated radial head fractures and to further correlate these results with the initial modified Mason classification. Methods: In this retrospective study, all suitable patients with surgical treatment of a radial head fracture were identified. Only patients with Mason II-IV fractures were included. All patients completed the Elbow Self-Assessment Score (ESAS) questionnaire. Data on fracture classification, type of surgery, and revision operations (if needed) were assessed. Results: A total of 92 patients suffering from fractures of the radial head (57 Mason II, 35 Mason III-fractures) who were operatively treated at our institution were enrolled. There were 42 (47.7%) female and 50 (54.3%) male patients with an average age of 47.5 ± 14.1 years. Screw osteosynthesis was performed in 67 patients, plate osteosynthesis in 20 patients, and five patients received radial head arthroplasty. The average ESAS score accounted for 89.7 ± 16.7. Mason II fractures showed significantly better functional results with higher ESAS scores (92.3 ± 13.9 vs. 85.4 ± 20.1) as well as significantly lower rates of necessary implant removal (0 vs. 5 (14.3%) than Mason III fractures. Screw osteosynthesis showed significantly better functional ESAS scores, 91.0 ± 16.5, than plate osteosynthesis, with 85.3 ± 17.6 (p = 0.041), but was predominantly used in Mason II fractures. Conclusions: Surgical treatment using screw- and plate osteosynthesis of radial head fractures provides a good overall outcome. The postoperative function is associated with the initial Mason classification as the patients’ reported outcome was worse in Mason III fractures compared to Mason type II fractures. In this context, the ESAS score can be considered a useful tool for the assessment of the patient-based functional outcome.
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spelling pubmed-105322152023-09-28 Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study Müller, Michael Mann, Verena Zapf, Julian Kirchhoff, Konstantin Zyskowski, Michael Biberthaler, Peter Kirchhoff, Chlodwig Wurm, Markus J Clin Med Article Background: Fractures of the radial head are common injuries, whereas, in the case of displaced fractures, surgical treatment using screw or plate osteosynthesis, excision, or replacement of the radial head is required. However, data about patient-related outcomes (PROM) for different types of radial head fractures is limited in the current literature. Therefore, this study was conducted to evaluate the functional outcome after operatively treated radial head fractures and to further correlate these results with the initial modified Mason classification. Methods: In this retrospective study, all suitable patients with surgical treatment of a radial head fracture were identified. Only patients with Mason II-IV fractures were included. All patients completed the Elbow Self-Assessment Score (ESAS) questionnaire. Data on fracture classification, type of surgery, and revision operations (if needed) were assessed. Results: A total of 92 patients suffering from fractures of the radial head (57 Mason II, 35 Mason III-fractures) who were operatively treated at our institution were enrolled. There were 42 (47.7%) female and 50 (54.3%) male patients with an average age of 47.5 ± 14.1 years. Screw osteosynthesis was performed in 67 patients, plate osteosynthesis in 20 patients, and five patients received radial head arthroplasty. The average ESAS score accounted for 89.7 ± 16.7. Mason II fractures showed significantly better functional results with higher ESAS scores (92.3 ± 13.9 vs. 85.4 ± 20.1) as well as significantly lower rates of necessary implant removal (0 vs. 5 (14.3%) than Mason III fractures. Screw osteosynthesis showed significantly better functional ESAS scores, 91.0 ± 16.5, than plate osteosynthesis, with 85.3 ± 17.6 (p = 0.041), but was predominantly used in Mason II fractures. Conclusions: Surgical treatment using screw- and plate osteosynthesis of radial head fractures provides a good overall outcome. The postoperative function is associated with the initial Mason classification as the patients’ reported outcome was worse in Mason III fractures compared to Mason type II fractures. In this context, the ESAS score can be considered a useful tool for the assessment of the patient-based functional outcome. MDPI 2023-09-09 /pmc/articles/PMC10532215/ /pubmed/37762809 http://dx.doi.org/10.3390/jcm12185870 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Müller, Michael
Mann, Verena
Zapf, Julian
Kirchhoff, Konstantin
Zyskowski, Michael
Biberthaler, Peter
Kirchhoff, Chlodwig
Wurm, Markus
Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study
title Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study
title_full Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study
title_fullStr Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study
title_full_unstemmed Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study
title_short Functional Postoperative Outcome for 92 Cases of Radial Head Fractures: A PROM-Based Retrospective Study
title_sort functional postoperative outcome for 92 cases of radial head fractures: a prom-based retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10532215/
https://www.ncbi.nlm.nih.gov/pubmed/37762809
http://dx.doi.org/10.3390/jcm12185870
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