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Management of post-traumatic elbow instability after failed radial head excision: A case report

Radial head excision has always been a safe commonly used surgical procedure with a satisfactory clinical outcome for isolated comminuted radial head fractures. However, diagnosis of elbow instability is still very challenging and often underestimated in routine orthopaedic evaluation. We present th...

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Detalles Bibliográficos
Autores principales: Touloupakis, Georgios, Theodorakis, Emmanouil, Favetti, Fabio, Nannerini, Massimiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343091/
https://www.ncbi.nlm.nih.gov/pubmed/28209448
http://dx.doi.org/10.1016/j.cjtee.2016.04.008
Descripción
Sumario:Radial head excision has always been a safe commonly used surgical procedure with a satisfactory clinical outcome for isolated comminuted radial head fractures. However, diagnosis of elbow instability is still very challenging and often underestimated in routine orthopaedic evaluation. We present the case of a 21-years old female treated with excision after radial head fracture, resulting in elbow instability. The patient underwent revision surgery after four weeks. We believe that ligament reconstruction without radial head substitution is a safe alternative choice for Mason III radial head fractures accompanied by complex ligament lesions.