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Treatment of comminuted radial head fractures with personalized radial head prosthesis produced with 3-dimensional printing technology

Journal of Shoulder and Elbow Surgery · Mart 2023

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YÖKSİS Kayıtları
Treatment of comminuted radial head fractures with personalized radial head prosthesis produced with 3-dimensional printing technology
Elsevier BV · 2023 SCI-Expanded
DOÇENT SADETTİN ÇİFTCİ →
Treatment of comminuted radial head fractures with personalized radial head prosthesis produced with 3-dimensional printing technology
Elsevier BV · 2023 SCI-Expanded
PROFESÖR BAHATTİN KEREM AYDIN →
Treatment of Comminuted Radial Head Fractures with Personalized Radial Head Prosthesis Produced With 3D Printing Technology
Elsevier BV · 2023 SCI-Expanded
DOÇENT ALİ ÖZDEMİR →
Treatment of comminuted radial head fractures with personalized radial head prosthesis produced with 3-dimensional printing technology
Journal of Shoulder and Elbow Surgery · 2023 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ EBUBEKİR ERAVŞAR →
Treatment of Comminuted Radial Head Fractures with Personalized Radial Head Prosthesis Produced with 3D Printing Technology.
Journal of shoulder and elbow surgery · 2022 SCI-Expanded
DOÇENT SELİM SAFALI →

Makale Bilgileri

DergiJournal of Shoulder and Elbow Surgery
Yayın TarihiMart 2023
Cilt / Sayfa32 · 463-474
Özet Background: The radial head is the forearm's pivot point for supination-pronation. Although radial head resection can be performed in comminuted radial head fractures, radial head prosthesis has gained popularity in order to prevent possible complications such as progressive valgus instability in the elbow and secondary ulnocarpal impaction that may develop due to proximal displacement of the radius. As for radial head prostheses, standard prosthetic designs do not provide the same results in everyone, and the alignment of the radial head and radial neck angle cannot be fully achieved. We believe that the radial head must be reconstructed with a complete anatomical implant. We designed and applied personalized prostheses to our patients, and in this study, we wished to share the 2-year results of these patients. Methods: In this study, 23 patients who had comminuted radial head fractures had personalized radial head prostheses inserted. Preoperative variables such as type of injury, age, side, additional ligament injury, operation time, number of radial head parts, neck angle of individual prosthesis, stem length, and stem diameter were noted. The mean operating time was 26 ± 9 minutes. One month postoperatively, after physical therapy, elbow range of motion, loss of strength compared to the opposite joint, Mayo elbow scores, QuickDASH scores, and patient satisfaction were evaluated. Patients were evaluated 2 years postoperatively. Results: QuickDASH and Mayo elbow scores were satisfactorily good (mean QuickDASH score: 9.091, mean Mayo score: 91.08). According to the results of the patient satisfaction questionnaire, 16 of the 23 patients reported excellent satisfaction, 5 patients good satisfaction, and 2 patients moderate satisfaction. None of the patients reported poor results. Discussion: Since personalized radial head prosthesis consists of a single monoblock, its surgical application consists of a single step and has a short operating time. As the applications in the literature increase and more studies are conducted, this subject will be better understood. Our study demonstrated that these patients, whose anatomies were individually replicated, achieved good range of motion and patient satisfaction. In fact, none of the patients reported negative results. In comminuted radial head fractures, surgical implantation of personalized radial head prosthesis is a treatment modality with easy application, short operating time, and good functional results.

Yazarlar (7)

1
Selim Safali
2
Ebubekir Eravşar
ORCID: 0000-0003-2940-604X
3
Ali Özdemir
ORCID: 0000-0002-8835-9741
4
S. Ciftci
5
Erkan Sabri Ertaş
ORCID: 0000-0002-3108-3297
6
B. K. Aydin
7
Mehmet Ali Acar

Anahtar Kelimeler

Case Series comminuted fracture elbow Level IV personalized prosthesis Radial head fractures radial head prosthesis radius head Treatment Study

Kurumlar

Gazi Yasargil Education and Research Hospital
Diyarbakir Turkey
Konya City Hospital
Konya Turkey
Selçuk Üniversitesi
Selçuklu Turkey

Metrikler

5
Atıf
7
Yazar
9
Anahtar Kelime

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