Title |
Long-term results after non-operative and operative treatment of radial neck fractures in adults
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Published in |
Journal of Orthopaedic Surgery and Research, February 2018
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DOI | 10.1186/s13018-018-0731-3 |
Pubmed ID | |
Authors |
Holger Keil, Marc Schnetzke, Arpine Kocharyan, Sven Yves Vetter, Nils Beisemann, Benedict Swartman, Paul-Alfred Grützner, Jochen Franke |
Abstract |
The aim of this study is to determine the functional long-term outcome after non-operative and operative treatment of radial neck fractures in adults. Thirty-four consecutive patients with a mean age of 46.4 (18.0 to 63.0) years with a fracture of the radial neck who were treated between 2000 and 2014 were examined regarding the clinical and radiological outcome. Twenty patients were treated non-operatively, and 14 patients underwent surgery. After a mean follow-up of 5.7 (2.0 to 15.7) years, the clinical scores showed good results in both groups. The Disabilities of Arm, Shoulder and Hand score was 16.1 (0 to 71.6) in the non-operative group and 8.8 (0 to 50.8) in the operative group, respectively. The Mayo Elbow Performance Score was 80.0 (30 to 95) in the non-operative group and 82.5 (35 to 95) in the non-operative group, respectively. The initial angle of the radial head towards the shaft (RHSA) was significantly higher in the operative group in the anterior-posterior plane (12.8° [2 to 23] vs. 26.3° [1 to 90], p = 0.015). In the follow-up radiographs, the RHSA was significantly lower in the operative group (15.1° [3 to 30] vs. 10.9° [3 to 18], p = 0.043). Five patients developed 7 complications in the non-operative group, and 7 patients developed 12 complications in the operative group. Revision rates were higher in the operative groups as 1 patient received radial head resection in the non-operative (5%) group while 7 patients in the operative group (50%) needed revision surgery. A good functional long-term outcome can be expected after operative and non-operative treatment of radial neck fractures in adults. If needed due to major displacement, open reduction is associated with a higher risk of complications and the need for revision surgery but can achieve similar clinical results. DRKS DRKS00012836 (retrospectively registered). |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 49 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 6 | 12% |
Student > Master | 6 | 12% |
Student > Bachelor | 3 | 6% |
Student > Ph. D. Student | 3 | 6% |
Other | 2 | 4% |
Other | 6 | 12% |
Unknown | 23 | 47% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 35% |
Nursing and Health Professions | 3 | 6% |
Agricultural and Biological Sciences | 2 | 4% |
Unspecified | 1 | 2% |
Business, Management and Accounting | 1 | 2% |
Other | 2 | 4% |
Unknown | 23 | 47% |