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Clin Shoulder Elbow > Volume 10(1); 2007 > Article
Journal of the Korean Shoulder and Elbow Society 2007;10(1):84-91.
DOI: https://doi.org/10.5397/CiSE.2007.10.1.084    Published online June 30, 2007.
Metallic Radial Head Prosthesis in Korea
Sang Hwan Han, Jun Gyu Moon, Jong Wong Park, Ki Mo Jang
Department of Orthopedic Surgery, Korea University Medical College, Seoul, Korea. orthocap@yahoo.co.kr
상완골 근위부 분쇄 골절에서의 상완골 두 치환술의 단기 추시 결과
성창민·조세현·정순택·황선철·박형빈*
경상대학교 의학전문대학원 정형외과학교실
Abstract
Purpose
The aim of this study was to report seven cases of metallic radial head prosthesis and present the limit of use in Korea. Materials and Methods: Metallic radial head arthroplasty was performed on 7 patients between April 2006 and December 2006, who had complex elbow injury including comminuted radial head fracture. Indication, operative findings and outcome were assessed. Availability and payment of implant were investigated.
Results
All of the patients had more than one associated injury including coronoid fracture, olecranoan fracture, and ligament ruptures. According to Mason classification, there were three type III and four type IV fractures. All radial head fractures were too comminuted to reconstruct. There were two excellent results, four good, and one poor, as graded by Mayo score. There were no patient with instability and implant related complications. Insufficient supply of implant did not enable to do scheduled surgery in 2 cases. Current medical insurance did not cover charge for radial prosthesis, five patients could not help paying for that by themselves.
Conclusion
Metallic radial head implants are useful when the radial head cannot be repaired reliably. Preoperative preparing and coverage by medical insurance based on appropriate indication are helpful for decision for a treatment option.
Key Words: Radius; Head fracture; Metallic prosthesis
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