Primary radial head arthroplasty in trauma : Complications

Radial head fractures are common injuries in elbow trauma. Non-displaced fractures are best treated conservatively. Simple but displaced fractures require anatomic reduction and fixation, typically using screws. The treatment course for complex fractures with multiple fragments is still being debate...

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Bibliographic Details
Published in:Der Orthopäde 2016-10, Vol.45 (10), p.853-860
Main Authors: Schmidt-Horlohé, K, Buschbeck, S, Wincheringer, D, Weißenberger, M, Hoffmann, R
Format: Article
Language:ger
Subjects:
Arthroplasty, Replacement, Elbow - adverse effects
Elbow Joint - injuries
Elbow Joint - surgery
Elbow Prosthesis - adverse effects
Evidence-Based Medicine
Humans
Postoperative Complications - etiology
Postoperative Complications - therapy
Radius Fractures - complications
Radius Fractures - surgery
Treatment Outcome
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Summary:Radial head fractures are common injuries in elbow trauma. Non-displaced fractures are best treated conservatively. Simple but displaced fractures require anatomic reduction and fixation, typically using screws. The treatment course for complex fractures with multiple fragments is still being debated, as results are less predictable. Radial head resection is not advised if concomitant injuries of the coronoid process or the collateral ligaments with instability are present. Favorable outcomes following open reduction and fixation using plates were reported recently. However, complication rates are very high. Radial head replacement is a valuable tool in treating complex fractures of the radial head with predominantly good and excellent results. Patients who suffer radial head fractures are typically of a younger age, resulting in high functional demands. Certainly, unspecific and specific complications related to radial head arthroplasty were reported in up to 40 % of cases in an acute fracture setting. This article highlights common complications in radial head arthroplasty and aims to present strategies to avoid them.
ISSN:1433-0431
DOI:10.1007/s00132-016-3330-1