The incision is closed and a sterile dressing is applied. Your surgeon then inserts the chosen prosthesis and checks for stability and tracking during various movements of the arm. The central cavity of the radial shaft just below the radial neck is prepared with an awl. The radial neck is trimmed to receive the prosthesis. Your surgeon determines the correct size of the prosthesis to facilitate a perfect fit. All the fragments of the broken bone are carefully removed without injuring the surrounding tissues. To perform a radial head replacement, your doctor makes an incision at the outside of the elbow. After securing the bone, the incisions are closed and a sterile dressing is applied. The fragments of bone are then held in place with wires, screws, pins, or metal plates attached to the outer surface of the bone. After carefully visualizing the fracture, the bone fragments are repositioned (reduced) into their normal alignment. The fracture site is identified and cleaned out. Your surgeon will locate the fracture by carefully sliding in between the muscles of the forearm. After sterilizing the affected area, your surgeon will make an incision on the outside of the elbow. The surgery is performed under sterile conditions in the operating room under general anesthesia. Open reduction and internal fixation of the radial head is most often employed to treat displaced radial head fractures. Procedure for Radial Head ORIF and Replacement When removal of the radial head causes elbow instability Intra-operative x-ray of a radial head replacement for an un-reconstructable radial head fracture.Fixation with plates or screws is not feasible.General indications for replacement of the radial head include: Mechanical obstruction to forearm rotation.General indications for radial head open reduction and internal fixation include: Indications for Radial Head ORIF and Replacement Fractures of the radius frequently occur in the part of the bone closest to the elbow, called the radial head. The radial head articulates with the humerus and ulna to form the elbow joint. The radius is the shorter of the two forearm bones and can be divided into the head, neck, and shaft. The elbow joint is formed by the junction of the humerus (upper arm bone), and radius and ulna (forearm bones). This is known as a radial head replacement. It also could break the smaller bone (radius) in your forearm. While conservative methods of immobilization or surgical fixation with screws can effectively treat minor fractures, more severe fractures and dislocation of the elbow joint may require removal of the radial head and replacement with a prosthesis. Espaol The radial 'head' is the knobby end of the radius where it meets the elbow While trying to break a fall with your hands may seem instinctive, the force of the fall could travel up your forearm bones and dislocate your elbow. Open reduction and internal fixation (ORIF) of the radial head is a surgical technique employed for the treatment of a radial head fracture to restore normal anatomy and improve range of motion and function.
#Elbow brace for radial head fracture full#
Full recovery can take 3-6 months.What is Radial Head ORIF and Replacement?
There may be a slight amount of loss of motion in a repaired elbow. After that, the patient undergoes physical therapy to regain function in the elbow. Initial recovery from the surgery is about two weeks, during which the elbow is immobilized in a splint or sling. However, radial head arthroplasty requires an open surgery so the joint can be seen well and the prosthetic can be attached firmly. Patients with just bone fragments or damaged tissue may undergo arthroscopic surgery to remove them, which is minimally invasive. Type 2 fractures are characterized by displacement of bones. The prosthesis may be made of polyethylene or metal, and it is shaped to slide into the end of the radius and serve as part of the elbow joint. What are the Treatment Options for Radial Head Fractures Type 1 fractures are usually very small. Sometimes called Radial Head Arthroplasty, this removes the damaged radial head and replaces it with a piece shaped to fit the joint. If the elbow trauma is too complex for traditional treatments, such as the use of a splint and sling, then Radial Head Replacement may be the best course of action. There have been many methods developed to relieve pain and stiffness because of radial head fractures.
Of all the parts of the radius, the smaller bone in the lower arm, the radial head is the most susceptible to fracture than the rest of the elbow joint.
0 kommentar(er)
