Association of Radial Head Fracture Treatment With Long-Term Function.

Autor:	Burke CE; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., McKegg PC; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Wong AL; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., DeLeon GA; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Gupta J; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Healey K; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Enobun B; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., O'Hara NN; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., O'Toole RV; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Pensy RA; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Langhammer CG; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA., Eglseder WA; Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, USA.
Jazyk:	angličtina
Zdroj:	Hand (New York, N.Y.) [Hand (N Y)] 2024 Jan; Vol. 19 (1), pp. 30-37. Date of Electronic Publication: 2022 Jul 27.
DOI:	10.1177/15589447221109631
Abstrakt:	Background: Radial head fractures are often associated with poor outcomes. Both open reduction and internal fixation (ORIF) and radial head arthroplasty (RHA) might be considered in operative cases. This study aimed to compare long-term patient-reported functional outcomes among patients with operatively treated radial head fractures. Methods: A cross sectional study conducted at a Level I trauma center was used to identify patients with a radial head fracture who underwent ORIF or RHA between 2006 and 2018, and agreed to complete a survey in 2020. The primary outcome measure was the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score. Results: Seventy-six patients participated in the study. No significant differences in outcomes were observed between groups. QuickDASH scores were similar for both groups (ORIF: mean = 15.7, SD = 18.4; RHA: mean = 22.8, SD = 18.6; mean difference = 0.2 [-9.0 to 9.3], P = .97). Nineteen (37%) ORIF patients and 12 (48%) RHA patients reported a need for pain medication (adjusted odds ratio [OR] = 0.8 [0.3-2.4], P = .70). Thirteen (25%) ORIF patients and 6 (24%) RHA patients required additional surgery (adjusted OR = 1.7 [0.5-6.2], P = .39). A subgroup analysis of multi-fragmentary fractures revealed similar findings. Conclusion: Patient-reported outcomes, which included a subgroup analysis of multi-fragmentary fractures, were similar between ORIF and RHA groups at an average of 7.5 years from surgery. Reconstructing the radial head might not result in worse outcomes than RHA when both options are employed according to the best judgment of the operating surgeon. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: NNO reported receiving stock or stock options from Arbutus Medical, Inc. unrelated to this research. RVO reported receiving royalties from Lincotek, serving as a paid consultant for Smith & Nephew and Stryker, receiving honorarium from Zimmer, and receiving stock options from Imagen, all unrelated to this research. CGL reported serving as a paid consultant for DePuy Synthes unrelated to this research. WAE reported receiving royalties from and serving as a paid consultant for Globus Medical unrelated to this research. Dr. O’Toole reported receiving royalties from Lincotek, serving as a paid consultant for Smith & Nephew and Stryker, receiving honorarium from Zimmer, and receiving stock options from Imagen, all unrelated to this research.The remaining authors declare no conflict of interest.
Databáze:	MEDLINE
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