Clinical and radiological outcomes of autologous humeral bone grafting for radial head reconstruction: a minimum 2-year follow-up
| Autor: | Riccardo D’Ambrosi, Federico Giuseppe Usuelli, Gennaro Fiorentino, Francesco Catellani, Mario Arduini |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
musculoskeletal diseases
Joint Instability medicine.medical_specialty medicine.medical_treatment Elbow Pain Bone healing Bone grafting Prosthesis Fracture Fixation Internal Elbow Joint Autograft medicine Settore MED/33 - Malattie Apparato Locomotore Humans Bone graft Orthopedics and Sports Medicine Humerus Prospective Studies Radial head reconstruction Upper limb Range of Motion Articular Retrospective Studies Bone Transplantation business.industry musculoskeletal system Surgery medicine.anatomical_structure Treatment Outcome Radial head fracture Range of motion business Radius Fractures Follow-Up Studies |
| Popis: | The aim of this prospective study was to assess the clinical and functional results of radial head reconstruction with an autologous bone graft from distal humerus in 12 patients, with a follow-up for a period of 24 months. From March 2017 to June 2018, we surgically treated 12 patients using an autologous bone graft from the lateral distal metaphysis of the homolateral humerus. Patients were divided into two groups: -Group A consisted of patients with previous failed ORIF for radial head fracture. Patients underwent revision surgery at an average time of 7 months (between 6 to 8 months) from the first surgery. All the patients reported pain during the elbow range of motion with no gross clinical signs or instability of the joint. They all presented standard X-ray and CT-scan of the elbow suggestive of non-union fracture. None of them presented osteoarthritic modification at the time of surgery. -Group B consisted of patients reporting acute irreparable radial head fractures. Patients were evaluated clinically at 6-, 12-, and 24-months duration according to Disabilities of the Arm. Shoulder and Hand (DASH), Mayo Elbow Performance Score (MEPS), and Visual analogue score for pain (VAS);, range of motion (ROM) was evaluated at 6 and 24 months after surgery. Plain radiographs on anteroposterior and lateral views of the elbow were evaluated at final follow-up. In both, groups (A and B) patients showed a significant improvement with regards to VAS, MEPS, and DASH at each follow-up (p |
| Databáze: | OpenAIRE |
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