A comparative study of open reduction and internal fixation versus arthroplasty treatment of modified mason type III or IV radial head fracture at tertiary health care center
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 1
Abstract
Background: Radial head fractures can occur in isolation or with associated elbow and forearm injuries, including fractures, fracture-dislocations, and/or ligamentous injuries Aims and Objectives: To study Open reduction and internal fixation versus arthroplasty treatment of modified Mason Type III or IV radial head fracture at tertiary health care center. Methodology: This was a cross-sectional study carried out in the department of Orthopedics of a tertiary health care centre during the one year period i.e. January 2017 to January 2018 in the patients admitted with modified Mason Type III or IV radial head fracture with the written and explained consent all such patients were allotted to two different treatment groups i.e. Radial head Arthoplasty (RHA, n=32);The statistical analysis was done by un-paired t-test, Chi-sqaure test, Mann Whiteny U test, all calculated by SPSS 19 version software. Result: In our study we have found that, the mean age of in RHA group was 43± 5.42 Yrs. and in ORIF group was 44 ± 3.73 Yrs. was comparable (t = 1.34, df = 62 ,p>0.05 ). The male to female ratio in both the groups was 1.13 and 1.28 was comparable with each other (X2=0.57, df=1, P>0.05). Except the Flexion/extension arc (°)-109.12±14.23, 103.21±8.92 ( p<0.02*); Supination (°)-72.34±6.98, 65.12±4.56 (p<0.01*) which was found to be better in RHA as compared to ORIF, all other parameters were comparable to each other i.e. PREE- 14.1±14.54, 13.98±12.81(p>0.87 ); DASH-10.11±15.12 , 11.7±13.87 (p>0.91); Flexion (°)-127.13±13.12,128.13±7.92 (p>0.43);Extension(°)-16.4±8.92,17.45±7.34(p>0.97);Pronation(°)-57.23±11.23,59.34±8.34(p>0.38); ronation/supination (°)-131.23±18.34, 129.12±11.87(p>0.73 ) Conclusion: It can be concluded from our study that Except the Flexion/extension arc, Supination movement in all other aspect both the result were comparable with each with respect to surgical outcome are concerned.
Authors and Affiliations
Rajkumar Indrasen Suryawanshi, Amol Khairnar, Vijay Kamble
Keywords
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- EP ID EP465618
- DOI 10.26611/1020916
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