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      KCI등재

      단극성 이완 고정 스템을 이용한 요골두 금속 치환술의 단기 추시 결과 = The Short Term Results of Radial Head Arthroplasty with Unipolar Loose Fit Stem

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      https://www.riss.kr/link?id=A100464486

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      다국어 초록 (Multilingual Abstract)

      Purpose: We report short-term results of radial head prosthesis using a unipolar loose fit stem in ten patients. Materials and Methods: Ten patients with Mason type three radial head fracture, who received unipolar radial head arthroplasty from February 2010 to June 2011, were evaluated (mean follow-up: 22 months, range: 18-30 months). Subjects consisted of five men and five women. Range of elbow motion was measured. Mayo elbow performance index (MEPI) score was used for functional evaluation and periodic radiological imaging was performed to evaluate the stability of implant. Results: After an average follow-up of 22 months, elbow stability was maintained in all cases, and the average range of motion of elbow flexion and extension was 6 to 130 degrees. Average range of pronation and supination was 66 and 74 degrees, respectively. MEPI score was evaluated as excellent in seven cases, and good in three cases. On final follow-up, radiological assessment showed implant stability in all cases without evidence of dislocation, subluxation, arthritis, periprosthetic osteolysis or heterotopic ossification. Conclusion: Based on our short-term follow-up, radial head arthroplasty with unipolar loose fit stem is a useful method for obtaining satisfactory outcome for unreducible comminuted radial head fractures.
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      Purpose: We report short-term results of radial head prosthesis using a unipolar loose fit stem in ten patients. Materials and Methods: Ten patients with Mason type three radial head fracture, who received unipolar radial head arthroplasty from Februa...

      Purpose: We report short-term results of radial head prosthesis using a unipolar loose fit stem in ten patients. Materials and Methods: Ten patients with Mason type three radial head fracture, who received unipolar radial head arthroplasty from February 2010 to June 2011, were evaluated (mean follow-up: 22 months, range: 18-30 months). Subjects consisted of five men and five women. Range of elbow motion was measured. Mayo elbow performance index (MEPI) score was used for functional evaluation and periodic radiological imaging was performed to evaluate the stability of implant. Results: After an average follow-up of 22 months, elbow stability was maintained in all cases, and the average range of motion of elbow flexion and extension was 6 to 130 degrees. Average range of pronation and supination was 66 and 74 degrees, respectively. MEPI score was evaluated as excellent in seven cases, and good in three cases. On final follow-up, radiological assessment showed implant stability in all cases without evidence of dislocation, subluxation, arthritis, periprosthetic osteolysis or heterotopic ossification. Conclusion: Based on our short-term follow-up, radial head arthroplasty with unipolar loose fit stem is a useful method for obtaining satisfactory outcome for unreducible comminuted radial head fractures.

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      참고문헌 (Reference)

      1 Speed K, "errule caps for the head of the radius" 73 : 845-850, 1941

      2 Morrey BF, "Valgus stability of the elbow. A definition of primary and secondary constraints" (265) : 187-195, 1991

      3 Park JW, "The short term results of bipolar radial head prosthesis." 13 : 188-194, 2008

      4 van Riet RP, "The noncircular shape of the radial head" 28 : 972-978, 2003

      5 Harrington IJ, "The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures:a long-term review" 50 : 46-52, 2001

      6 Morrey B, "The elbow and its disorders" WB Saunders Co 341-364, 2000

      7 O'Driscoll SW, "Symptomatic failure of snap-on bipolar radial head prosthesis" 18 : e7-e11, 2009

      8 Pugh DM, "Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures" 86 : 1122-1130, 2004

      9 Mason ML, "Some observations on fractures of the head of the radius with a review of one hundred cases" 42 : 123-132, 1954

      10 Morrey BF, "Silastic prosthetic replacement for the radial head" 6 : 454-458, 1981

      1 Speed K, "errule caps for the head of the radius" 73 : 845-850, 1941

      2 Morrey BF, "Valgus stability of the elbow. A definition of primary and secondary constraints" (265) : 187-195, 1991

      3 Park JW, "The short term results of bipolar radial head prosthesis." 13 : 188-194, 2008

      4 van Riet RP, "The noncircular shape of the radial head" 28 : 972-978, 2003

      5 Harrington IJ, "The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures:a long-term review" 50 : 46-52, 2001

      6 Morrey B, "The elbow and its disorders" WB Saunders Co 341-364, 2000

      7 O'Driscoll SW, "Symptomatic failure of snap-on bipolar radial head prosthesis" 18 : e7-e11, 2009

      8 Pugh DM, "Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures" 86 : 1122-1130, 2004

      9 Mason ML, "Some observations on fractures of the head of the radius with a review of one hundred cases" 42 : 123-132, 1954

      10 Morrey BF, "Silastic prosthetic replacement for the radial head" 6 : 454-458, 1981

      11 Harrington IJ, "Replacement of the radial head in the treatment of unstable elbow fractures" 12 : 405-412, 1981

      12 Moon JG, "Radiocapitellar joint stability with bipolar versus monopolar radial head prostheses" 18 : 779-784, 2009

      13 Doornberg JN, "Radial head arthroplasty with a modular metal spacer to treat acute traumatic elbow instability" 89 : 1075-1080, 2007

      14 Calfee R, "Radial head arthroplasty" 31 : 314-321, 2006

      15 Knight DJ, "Primary replacement of the fractured radial head with a metal prosthesis" 75 : 572-576, 1993

      16 Ring D, "Posterior dislocation of the elbow with fractures of the radial head and coronoid" 84 : 547-551, 2002

      17 King GJ, "Open reduction and internal fixation of radial head fractures" 5 : 21-28, 1991

      18 Sanders RA, "Open reduction and internal fixation of comminuted radial head fractures" 14 : 130-135, 1986

      19 Kang HJ, "Mini-plate fixation for comminuted radial head fracture." 8 : 171-176, 2003

      20 Popovic N, "Midterm results with a bipolar radial head prosthesis: radiographic evidence of loosening at the bone-cement interface" 89 : 2469-2476, 2007

      21 Yian E, "Malpositioning of radial head prostheses: an in vitro study" 17 : 663-670, 2008

      22 Vanderwilde RS, "Inflammatory arthritis after failure of silicone rubber replacement of the radial head" 76 : 78-81, 1994

      23 Ikeda M, "Function after early radial head resection for fracture: a retrospective evaluation of 15 patients followed for 3-18 years" 71 : 191-194, 2000

      24 Esser RD, "Fractures of the radial head treated by internal fixation: late results in 26 cases" 9 : 318-323, 1995

      25 Josefsson PO, "Dislocations of the elbow and intraarticular fractures" (246) : 126-130, 1989

      26 Herald J, "Complete dissociation of a bipolar radial head prosthesis: a case repor" 17 : e22-e23, 2008

      27 Grewal R, "Comminuted radial head fractures treated with a modular metallic radial head arthroplasty. Study of outcomes" 88 : 2192-2200, 2006

      28 Heim U, "Combined fractures of the radius and the ulna at the elbow level in the adult. Analysis of 120 cases after more than 1 year" 84 : 142-153, 1998

      29 Moro JK, "Arthroplasty with a metal radial head for unreconstructible fractures of the radial head" 83 : 1201-1211, 2001

      30 King GJ, "An anthropometric study of the radial head: implications in the design of a prosthesis" 16 : 112-116, 2001

      31 Judet T, "A floating prosthesis for radial-head fractures" 78 : 244-249, 1996

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