Publication: Radial Head Arthroplasty among Patients with Radial Head Fracture in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Proximal radial fractures are a common type of fracture around the elbow joint. Among these comminuted radial head fractures are commonly associated with secondary injuries and instability of the elbow joint. Management of the radial head in such cases is very important in restoring the stability of the elbow joint and starting early mobilization. The aim of this study was to find out the prevalence of radial head arthroplasty among patients with radial head fracture in a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted from 25 January 2019 to 25 December 2020 among patients with a radial head fracture at the Department of Orthopaedics of a tertiary care centre. Ethical approval was obtained from the Institutional Review Committee (Reference number: 076/77-08A). A convenience sampling method was used. The study group consisted of patients between 20 to 60 years of age with isolated radial head fractures. Radial head arthroplasty was done for Mason types III and IV fractures and functional outcome was calculated postoperatively with Mayo elbow score on follow-up at 3-, 6- and 12-month intervals. Point estimate and 95% Confidence Interval were calculated.
Results: Out of 96 patients with radial head fracture, 22 (22.92%) (17.59-28.25, 95% Confidence Interval) underwent radial head arthroplasty. The mean Mayo elbow score was 96.33±7.74 at 12 months of follow-up.
Conclusions: The prevalence of radial head arthroplasty among irreparable radial head fractures was similar compared to other studies done in a similar setting.
Description
Manoj Kandel
Department of Orthopaedics, Bharatpur Hospital, Bharatpur, Chitwan, Nepal
https://orcid.org/0000-0001-6505-0912
Deepak Banjade
Department of Orthopaedics, Bharatpur Hospital, Bharatpur, Chitwan, Nepal
https://orcid.org/0000-0002-7985-8848
Shrawan Kumar Thapa
Department of Orthopaedics, Bharatpur Hospital, Bharatpur, Chitwan, Nepal
https://orcid.org/0000-0003-1603-7230
Prakash Kandel
Department of Orthopaedics, Bharatpur Hospital, Bharatpur, Chitwan, Nepal
Bishwa Raj Adhikari
Department of Orthopaedics, Bharatpur Hospital, Bharatpur, Chitwan, Nepal
Kabin Neupane
Department of Orthopaedics, Bharatpur Hospital, Bharatpur, Chitwan, Nepal
Keywords
Arthroplasty, Elbow prosthesis, Radius fractures