Late Results of Absorbable Pin Fixation in the Treatment of Radial Head Fractures

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• 作者：Panagiotis K. Givissis MD ; PhD (1) (2)
  Panagiotis D. Symeonidis MD (1)
  Konstantinos T. Ditsios MD ; PhD (1)
  Panagiotis S. Dionellis MD (1)
  Anastasios G. Christodoulou MD ; PhD (1)
  
• 刊名：Clinical Orthopaedics and Related Research?
• 出版年：2008
• 出版时间：May 2008
• 年：2008
• 卷：466
• 期：5
• 页码：1217-1224
• 全文大小：317KB
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• 作者单位：Panagiotis K. Givissis MD, PhD (1) (2)
  Panagiotis D. Symeonidis MD (1)
  Konstantinos T. Ditsios MD, PhD (1)
  Panagiotis S. Dionellis MD (1)
  Anastasios G. Christodoulou MD, PhD (1)
  
  1. First Orthopaedic Department, Aristotle University of Thessaloniki “G Papanikolaou-Hospital, Thessaloniki, Greece
  2. 9, Papanikolaou Street, Panorama, Mail Box 215, 55210, Thessaloniki, Greece
  

文摘

The use of bioabsorbable pins with prolonged degradation periods for fracture fixation has raised concerns about adverse soft tissue reactions, including seromas, discharging sinuses, or osteolytic changes. We asked whether bioabsorbable pins of self-reinforced polylactic acid polymer used in radial head fractures resulted in such reactions. We retrospectively reviewed 21 patients followed a minimum of 36?months (mean, 81?months; range, 36-36?months). There were nine Mason II, 10 Mason III, and two Mason IV fractures, which were evaluated clinically and radiographically. All fractures healed well with no radiographic signs of osteolysis. The mean Mayo Elbow Performance score was 93.8 (range, 20-00), which is comparable to the outcome of historical groups with radial head arthroplasty. The mean range of flexion of the elbow was 9° to 132°, with 79° pronation and 77° supination. The grip strength of the operated arm was not affected in comparison to the contralateral arm (mean range, 38.6 versus 40.9?kg). No material-related adverse effects were observed during and beyond the degradation period. Our data suggest concerns about soft tissue or bony reactions from these materials in radial head fractures are not justified. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.