Abstract |
This study reports the use of silicone prosthesis as a temporary spacer for comminuted fracture of the radial head. Twelve men and eight women with a mean age of 42 years (17-54) were operated on in an average of five days following a comminuted fracture of the radial head. Silicone radial head prosthesis was implanted with a mean duration of eight months (3-18) between implantation and removal. At a mean period of five years after initial surgery, the mean DASH score was 40 (24-82), the mean MEPS score was 86 (60-100) giving ten excellent results, five good and five means. At the last clinical follow-up, the average flexion was 127° (90-140) and 152° (50-180) for pronation-supination. Regarding our results, early removal of the Silastic implant prevented possible synovitis and failure of silicone implant. The stability of the elbow was obtained in all cases with association of a medial collateral ligament repair in case of instability. The use of a silicone radial head implant as a temporary spacer in case of radial head fracture type Mason III or IV seems to be a possible alternative to metal prostheses, whose implantation technique is demanding and sometimes not recommendable in young patients.
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Authors | C Petitjean, H Thomazeau, T Dréano, D Huten, M Ropars |
Journal | Chirurgie de la main
(Chir Main)
Vol. 32
Issue 6
Pg. 373-9
(Dec 2013)
ISSN: 1769-6666 [Electronic] France |
Vernacular Title | Résultats à moyen terme d'un implant en Silastic utilisé comme espaceur transitoire dans les fractures non synthésables de la tête radiale. |
PMID | 24210723
(Publication Type: English Abstract, Journal Article)
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Copyright | Copyright © 2013. Published by Elsevier SAS. |
Chemical References |
- Dimethylpolysiloxanes
- baysilon
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Topics |
- Adolescent
- Adult
- Dimethylpolysiloxanes
- Female
- Fractures, Comminuted
(surgery)
- Humans
- Male
- Middle Aged
- Orthopedic Procedures
(methods)
- Prosthesis Design
- Radius Fractures
(surgery)
- Time Factors
- Young Adult
- Elbow Injuries
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