GET THE APP

Determination of the Level of Osteotomy of Radial Neck with | 94237

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Determination of the Level of Osteotomy of Radial Neck with Radial Tuberosity as a Most Reliable Reference Point in Radial Head Replacement

Author(s): Mervinrosario PM*, Vijay Narasimman Reddy and Aravind Ravichandran

Abstract

Aim: To determine the most reliable reference point for radial neck osteotomy in replacement surgery of radial head for unrepairable fractures of head and neck of radius.

Methods: A prospective analysis of 30 patients (16 men and 14 women, with mean age 35.3 years) with modified mason type 3 and 4 fractures treated with radial head replacement between August 2016 and July 2020 was performed. The radial neck was osteotomised at 2 mm above the radial tuberosity. The outcomes were studied based on Mayo Elbow Performance Index (MEPI), Range of Motion (ROM) and Visual Analog Scale (VAS).

Results: The mean MEPI, VAS and ROM at interval of 2 weeks, 6 weeks, 3 months, 6 months, 1 year and 3 years show significant improvement. The mean MEPI score at 3 years is 95 and VAS score is 8.8. The mean flexion is 115, pronation is 55 and supination is 75 at the end of 3 years.

Conclusion: Osteotomy performed at 2 mm proximal to radial tuberosity is associated with good clinical and functional outcomes in most cases. Hence the radial tuberosity is a reliable reference point in radial head replacement surgeries.

Share this article

http://sacs17.amberton.edu/