Abstract: Introduction: The radial head fracture is the most common type of elbow fracture, occurring in between 2.5% and 2.9% of the general population per every 10,000 people.
Women are more likely than men to suffer from radial head fractures, which most usually happen between the 20 years and 60 years.
“Mildly displaced and un-displaced fracture radial head typically occur independently of the capitellum, coronoid, or proximal ulna, while highly comminuted and displaced fractures frequently injure the collateral ligamentsâ€.
Dislocations of elbow joint also happen in high energy trauma. The Essex-Lopresti lesion, which is characterized by interosseous membrane damage and distal radial ulnar joint ligament, may cause forearm axial instability.
The radial neck or head fractures are usually non-displaced or minimally displaced injuries. Conservative treatment of these fractures typically yields a satisfactory functional outcome.
Aim of The Study: To assess functional results of replacing the broken radial neck and head fractures with a radial head prosthesis
Materials and Methods: The study was provisionally approved by the institutional ethics committee,
Andhra medical College, visakhapatnam.
This prospective study of comminuted radial head fractures treated by radial head prosthesis was done at the Department of Orthopedics, King George Hospital, Andhra Medical College, Visakhapatnam, from September 2020 to september 2022 Over a period of 2 years with in my academic years from May 2020 to May 2022.
Conclusion: The elbow, radioulnar joint, or wrist joint won't be impacted by excision of radial head in a comminuted fracture of radial head, contrary to earlier expectations.
And yet, multiple studies have shown that for the elbow joint to remain stable and for the DRUJ complex to be intact, the proximal radioulnar joint must be intact.
A non-repairable radial head fracture can be replaced with a prosthetic to give the damaged limb a reliable basis for long-term use.
Therefore, we draw the observation that the radial head arthroplasty is technically superior than excision or osteosynthesis in the extremely demanding world of today. It offers a far better functional result than the other two operations.
This study has several restrictions. Despite being a prospective research, subjects were only followed for a brief time. As a result, a study with sophisticated methodology and a long follow-up period is required to properly evaluate the efficacy of the prosthesis used in radial head arthroplasty.
