ASSESSMENT OF FUNCTIONAL OUTCOME OF PRIMARY PROSTHETIC REPLACEMENT IN RADIAL HEAD FRACTURES.

Abstract

INTRODUCTION:-Radial head fractures (RHF) constitute 33% of elbow fractures and 1.5-4% of all fractures. Most of the individuals who sustain this fracture are between 20-60 (mean 30-40) years, with a male to female ratio of 1:1.Typically, these fractures are caused by a fall on an outstretched arm with the elbow partially flexed and pronated. This results in transmission of axial force from the hand through the wrist and forearm, causing an impaction of the radial head against the capitellum. Though very rare, RHF can also be caused by direct blunt or penetrating trauma.

 AIMS & OBJECTIVES:-To evaluate the results in terms of functional outcome of radial head fractures with radial head prosthesis and to restore optimum forearm function.

 MATERIALS & METHODS:-The  present  study  will  be  carried  out  in  P.G  Dept.  of  othopaedics, SKIMS  MC  Bemina,  Srinagar,  from  june 2018  to  Dec 2020.  At  least  30  patients  with Mason type3 and type4 fractures of Radial Head will be included in the study.

 INCLUSION CRITERIA

• Morrey modified Mason’s type-III and Type-IV.
• Closed fractures.
• Age of the patient: 20years or more
• Patients who can attend OPD for at-least 1 year.
• All Sexes.

 EXCLUSION CRITERIA

• Morrey modified Mason’s type-I and Type-II.
• Open fractures.
• Age less than 20years.
• Pathological Fractures.
• Associated Neurovascular Injury.
• Presence of any infection.
• Patients with dysplastic elbow-joints.
• Patient who cannot come for follow up for at-least 1 year.

FOLLOW UP:- The Patients will be followed for a period of at least 12 months.