Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III
Abstract Background The treatment of comminuted radial head fractures can include prosthetic replacement or open reduction and internal fixation. The purpose of this study is to evaluate the results of two different internal fixation systems for Mason type II-III radial head fractures. Methods Betwe...
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| Format: | Article |
| Language: | English |
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BMC
2018-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12891-018-2014-x |
| _version_ | 1818848262401032192 |
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| author | Luigi Tarallo Raffaele Mugnai Martina Rocchi Francesco Capra Fabio Catani |
| author_facet | Luigi Tarallo Raffaele Mugnai Martina Rocchi Francesco Capra Fabio Catani |
| author_sort | Luigi Tarallo |
| collection | DOAJ |
| description | Abstract Background The treatment of comminuted radial head fractures can include prosthetic replacement or open reduction and internal fixation. The purpose of this study is to evaluate the results of two different internal fixation systems for Mason type II-III radial head fractures. Methods Between 2005 and 2015, 82 patients were treated using pins and 65 patients by mini-screws. The follow-up protocol included: a clinical evaluation 15 days after surgery, and clinical and radiographic evaluations performed at 30 and 60 day intervals, unless any complications were reported by the patient. Over a period of at least 12-months of follow-up, patients were checked and interviewed. Clinical examinations included elbow range of motion (ROM), arm, shoulder and hand Disabilities, (DASH), and the Mayo Elbow Performance Score (MEPS). Results Sixty-one subjects who had been treated with mini-screws were clinically reviewed at a mean 47.3 ± 35.8 month of follow-up; all patients who had been treated using absorbable pins were evaluated at a mean 82.5 ± 20.6 month of follow-up. No significant statistically differences were observed between the two groups in the mean ROM, DASH, and MEPS scores. Residual pain was reported in 15.8%of the patients treated by pins and 9.2% patients treated by mini-screws. Secondary displacement of fracture fragments was observed in 8.5% patients treated by pins and 1.6% using mini-screws. Conclusions Both absorbable pins and mini-screws provided adequate strength and rigidity, allowing good clinical and functional scores at a mid-term follow-up. However, a higher rate of secondary displacement of the fracture fragments was reported among subjects who had been treated using absorbable pins. |
| first_indexed | 2024-12-19T06:14:33Z |
| format | Article |
| id | doaj.art-ee4a47d5de3c48a5bae7a9eb2db3105c |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-19T06:14:33Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-ee4a47d5de3c48a5bae7a9eb2db3105c2022-12-21T20:32:55ZengBMCBMC Musculoskeletal Disorders1471-24742018-03-011911710.1186/s12891-018-2014-xComparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-IIILuigi Tarallo0Raffaele Mugnai1Martina Rocchi2Francesco Capra3Fabio Catani4Department of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Policlinico di ModenaDepartment of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Policlinico di ModenaDepartment of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Policlinico di ModenaPrivate PractitionerDepartment of Orthopaedics and Traumatology, University of Modena and Reggio Emilia, Policlinico di ModenaAbstract Background The treatment of comminuted radial head fractures can include prosthetic replacement or open reduction and internal fixation. The purpose of this study is to evaluate the results of two different internal fixation systems for Mason type II-III radial head fractures. Methods Between 2005 and 2015, 82 patients were treated using pins and 65 patients by mini-screws. The follow-up protocol included: a clinical evaluation 15 days after surgery, and clinical and radiographic evaluations performed at 30 and 60 day intervals, unless any complications were reported by the patient. Over a period of at least 12-months of follow-up, patients were checked and interviewed. Clinical examinations included elbow range of motion (ROM), arm, shoulder and hand Disabilities, (DASH), and the Mayo Elbow Performance Score (MEPS). Results Sixty-one subjects who had been treated with mini-screws were clinically reviewed at a mean 47.3 ± 35.8 month of follow-up; all patients who had been treated using absorbable pins were evaluated at a mean 82.5 ± 20.6 month of follow-up. No significant statistically differences were observed between the two groups in the mean ROM, DASH, and MEPS scores. Residual pain was reported in 15.8%of the patients treated by pins and 9.2% patients treated by mini-screws. Secondary displacement of fracture fragments was observed in 8.5% patients treated by pins and 1.6% using mini-screws. Conclusions Both absorbable pins and mini-screws provided adequate strength and rigidity, allowing good clinical and functional scores at a mid-term follow-up. However, a higher rate of secondary displacement of the fracture fragments was reported among subjects who had been treated using absorbable pins.http://link.springer.com/article/10.1186/s12891-018-2014-xRadial head fractureMasonPinMini-screwsComplicationsFixation |
| spellingShingle | Luigi Tarallo Raffaele Mugnai Martina Rocchi Francesco Capra Fabio Catani Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III BMC Musculoskeletal Disorders Radial head fracture Mason Pin Mini-screws Complications Fixation |
| title | Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III |
| title_full | Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III |
| title_fullStr | Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III |
| title_full_unstemmed | Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III |
| title_short | Comparison between absorbable pins and mini-screw fixations for the treatment of radial head fractures Mason type II-III |
| title_sort | comparison between absorbable pins and mini screw fixations for the treatment of radial head fractures mason type ii iii |
| topic | Radial head fracture Mason Pin Mini-screws Complications Fixation |
| url | http://link.springer.com/article/10.1186/s12891-018-2014-x |
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