Résultats à moyen terme d’un implant en Silastic utilisé comme espaceur transitoire dans les fractures non synthésables de la tête radiale
| Autor: | D. Huten, H. Thomazeau, C. Petitjean, M. Ropars, T. Dreano |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Medial collateral ligament
medicine.medical_specialty business.industry medicine.medical_treatment Elbow General Medicine Silastic Prosthesis Surgery chemistry.chemical_compound Silicone medicine.anatomical_structure chemistry medicine Dash score Orthopedics and Sports Medicine Radial head fracture Implant business |
| Zdroj: | Chirurgie de la Main. 32:373-379 |
| ISSN: | 1297-3203 |
| DOI: | 10.1016/j.main.2013.09.008 |
| Popis: | This study reports the use of silicone prosthesis as a temporary spacer for comminuted fracture of the radial head. Twelve men and eight women with a mean age of 42 years (17-54) were operated on in an average of five days following a comminuted fracture of the radial head. Silicone radial head prosthesis was implanted with a mean duration of eight months (3-18) between implantation and removal. At a mean period of five years after initial surgery, the mean DASH score was 40 (24-82), the mean MEPS score was 86 (60-100) giving ten excellent results, five good and five means. At the last clinical follow-up, the average flexion was 127° (90-140) and 152° (50-180) for pronation-supination. Regarding our results, early removal of the Silastic implant prevented possible synovitis and failure of silicone implant. The stability of the elbow was obtained in all cases with association of a medial collateral ligament repair in case of instability. The use of a silicone radial head implant as a temporary spacer in case of radial head fracture type Mason III or IV seems to be a possible alternative to metal prostheses, whose implantation technique is demanding and sometimes not recommendable in young patients. |
| Databáze: | OpenAIRE |
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