Mid- to long-term outcomes after surgical treatment of chronic anterior dislocation of the radial head in children
| Autor: | Emiko Horii, Hitoshi Hirata, Shukuki Koh, Yuki Fujihara, Takaaki Shinohara |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent Radiography medicine.medical_treatment Elbow Joint Dislocations Ulna Risk Assessment Cohort Studies 03 medical and health sciences 0302 clinical medicine Elbow Joint medicine Long term outcomes Humans Orthopedics and Sports Medicine Orthopedic Procedures Range of Motion Articular Surgical treatment Radial shortening Child Reduction (orthopedic surgery) Pain Measurement Retrospective Studies 030222 orthopedics business.industry Radial head 030229 sport sciences Recovery of Function Surgery Osteotomy Radius medicine.anatomical_structure Treatment Outcome Child Preschool Chronic Disease Ligament Female business Elbow Injuries Follow-Up Studies |
| Zdroj: | Journal of Orthopaedic Science. 21(6):759-765 |
| ISSN: | 0949-2658 |
| Popis: | Background To evaluate the mid- to long-term clinical and radiographic outcomes after surgical treatment of chronic anterior dislocation of the radial head in children. Methods Open reduction was performed in 16 children (mean age, 9.3 years [range, 2.6–13.6 years]) with chronic anterior dislocation of the radial head. Twelve patients had a history of preceding injuries, with a mean interval between injury and surgery of 24 months (range, 2–86 months); 4 patients did not have injuries. Eight patients who had undergone reduction within 16 months were treated by open reduction and ulnar osteotomy. The other 8 patients who had not sustained trauma or had been injured >2 years previously required either annular ligament reconstruction or radial shortening in addition to ulnar osteotomy. Results The average preoperative Kim's elbow performance score was 77.2 ± 10.5, which significantly improved to 97.5 ± 5.8 at the final follow-up. The radial head was maintained in a reduced position in 14 patients and was subluxed in 2. Slight osteoarthritic changes of the elbow were observed in 2 patients with good reduction. The functional results were excellent in 15 and were good in 1 patient with an average follow-up of 6.5 years (range, 2.6–15.1 years). Conclusions Our surgical procedure provided good mid- to long-term clinical and radiographic outcomes. |
| Databáze: | OpenAIRE |
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