Biodegradable implants versus standard metal fixation for displaced radial head fractures. A prospective, randomized, multicenter study
| Autor: | Axel Prokop, Klaus E. Rehm, Jürgen Lilienthal, Hanns-Joachim Helling, Michael Nagel, Hans Ulrich Schmid |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Polyesters Elbow Bone Nails law.invention Randomized controlled trial law Fracture Fixation Absorbable Implants Elbow Joint medicine Internal fixation Humans Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Aged Osteosynthesis business.industry General Medicine Sudden infant death syndrome Middle Aged Surgery medicine.anatomical_structure Female Implant business Radius Fractures Elbow Injuries |
| Zdroj: | Journal of shoulder and elbow surgery. 15(4) |
| ISSN: | 1058-2746 |
| Popis: | This multicenter, prospective, randomized study compares the use of biodegradable polylactide pins with standard metal mini-fragment implants for the treatment of displaced radial head fractures. It compares complication rates and clinical outcomes of both treatment methods. At 2 years, 135 (82%) of 164 patients were available for evaluation. Equivalence of treatment method was defined as a difference of 10% or less in the number of complication-free patients. Functional status was assessed by using the Broberg and Morrey Elbow Score and compared by an unpaired t test. Good or excellent clinical results were achieved by 92% (56/61) of the control patients and 96% (71/74) of the polylactide patients. The incidence of complication-free patients was 3.7% less in the polylactide group than in the control group. The 1-sided 95% confidence interval for the treatment difference between the 2 groups was more than −6.1%. Biodegradable polylactide pins have at least comparable outcomes as standard metal implants for the internal fixation of reconstructable displaced radial head fractures. |
| Databáze: | OpenAIRE |
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