Clinical and radiological outcomes of autologous humeral bone grafting for radial head reconstruction: a minimum 2-year follow-up

Purpose The aim of this prospective study was to assess the clinical and functional results of radial head reconstruction with an autologous bone graft from distal humerus in 12 patients, with a follow-up for a period of 24 months. Methods From March 2017 to June 2018, we surgically treated 12 patie...

Full description

Saved in:
Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2022-08, Vol.32 (6), p.1153-1161
Main Authors: Fiorentino, Gennaro, Arduini, Mario, D’Ambrosi, Riccardo, Usuelli, Federico Giuseppe, Catellani, Francesco
Format: Article
Language:English
Subjects:
Elbow
Fractures
Medicine
Medicine & Public Health
Original Article
Range of motion
Skin & tissue grafts
Surgery
Surgical Orthopedics
Traumatic Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose The aim of this prospective study was to assess the clinical and functional results of radial head reconstruction with an autologous bone graft from distal humerus in 12 patients, with a follow-up for a period of 24 months. Methods From March 2017 to June 2018, we surgically treated 12 patients using an autologous bone graft from the lateral distal metaphysis of the homolateral humerus. Patients were divided into two groups: -Group A consisted of patients with previous failed ORIF for radial head fracture. Patients underwent revision surgery at an average time of 7 months (between 6 to 8 months) from the first surgery. All the patients reported pain during the elbow range of motion with no gross clinical signs or instability of the joint. They all presented standard X-ray and CT-scan of the elbow suggestive of non-union fracture. None of them presented osteoarthritic modification at the time of surgery. -Group B consisted of patients reporting acute irreparable radial head fractures. Patients were evaluated clinically at 6-, 12-, and 24-months duration according to Disabilities of the Arm. Shoulder and Hand (DASH), Mayo Elbow Performance Score (MEPS), and Visual analogue score for pain (VAS);, range of motion (ROM) was evaluated at 6 and 24 months after surgery. Plain radiographs on anteroposterior and lateral views of the elbow were evaluated at final follow-up. Results In both, groups (A and B) patients showed a significant improvement with regards to VAS, MEPS, and DASH at each follow-up ( p  
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-021-03094-x