Literature DB >> 35528730

Radial neck fracture nonunion: A case report and novel fixation technique.

Lazaros Kostretzis1, Filippos Zigras2, Ioannis Bampis2, Nikolaos Zervakis2, Ioannis Lachanas2, Konstantinos Ditsios3, Achilleas Boutsiadis2.   

Abstract

Non-union of radial neck fractures is a rare entity in adults, and conservative treatment is usually applied. However, when the patient is symptomatic, an optimal functional outcome can only be obtained after operative treatment. There is currently no consensus on the best surgical technique to treat this condition. We present a 34-year-old male with a radial head non-union and our proposed technique of using a cylindrical bone autograft harvested from the iliac crest and fixation with headless compression screws. At 12 months follow-up, the patient was pain free and had comparable range of motion to the uninjured side. We recommend a useful technique for the treatment of radial neck fracture nonunion. The preliminary postoperative outcomes show excellent results, while a longer follow-up and a greater number of cases are necessary to confirm the efficacy of this technique.

Entities:  

Keywords:  Bone Graft; Fracture; Non-union; Radial Neck; Screw Fixation

Year:  2022        PMID: 35528730      PMCID: PMC9048708          DOI: 10.52965/001c.32375

Source DB:  PubMed          Journal:  Orthop Rev (Pavia)        ISSN: 2035-8164


  8 in total

Review 1.  Radial Head Fracture Fixation Using Tripod Technique With Headless Compression Screws.

Authors:  Marc D Lipman; Trenton M Gause; Victor A Teran; A Bobby Chhabra; D Nicole Deal
Journal:  J Hand Surg Am       Date:  2018-04-27       Impact factor: 2.230

2.  The extraosseous and intraosseous arterial anatomy of the adult elbow.

Authors:  K Yamaguchi; F A Sweet; R Bindra; B F Morrey; R H Gelberman
Journal:  J Bone Joint Surg Am       Date:  1997-11       Impact factor: 5.284

3.  The epidemiology of radial head and neck fractures.

Authors:  Andrew D Duckworth; Nicholas D Clement; Paul J Jenkins; Stuart A Aitken; Charles M Court-Brown; Margaret M McQueen
Journal:  J Hand Surg Am       Date:  2011-11-25       Impact factor: 2.230

4.  A report of a case of non-union following fracture of the neck of the radius.

Authors:  R W Middleton; N M Miles
Journal:  Injury       Date:  1976-08       Impact factor: 2.586

5.  Non-union of isolated radial neck fracture using a bone graft and temporary K-wire fixation: a case report.

Authors:  Soo-Min Cha; Hyun-Dae Shin; Kyung-Cheon Kim; Jae-Hwang Song
Journal:  Hand Surg       Date:  2013

6.  Nonunion of fracture of the neck of the radius: a report of three cases.

Authors:  A A Faraj; P Livesly; T Branfoot
Journal:  J Orthop Trauma       Date:  1999 Sep-Oct       Impact factor: 2.512

7.  Isolated radial neck delayed union/nonunion after conservative treatment in adults: two case reports and a literature review.

Authors:  Christa Babst; Alexander Brunner; Reto Babst
Journal:  Arch Orthop Trauma Surg       Date:  2017-10-03       Impact factor: 3.067

Review 8.  Fractures of the radial head and neck: current concepts in management.

Authors:  Nirmal C Tejwani; Hemang Mehta
Journal:  J Am Acad Orthop Surg       Date:  2007-07       Impact factor: 3.020

  8 in total
  1 in total

1.  The Comparison of Clinical Efficacy of Minimally Invasive Tarsal Sinus Approach and L-Type Incision Approach Combined with 3D Printing Technology in Calcaneal Fracture.

Authors:  Hao Du; Shiang Li; Shicheng Tu; Kun Wang; Zhiyu Fang
Journal:  Comput Math Methods Med       Date:  2022-07-11       Impact factor: 2.809

  1 in total

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