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The Archives of Bone and Joint Surgery، جلد ۸، شماره ۱، صفحات ۲۷-۳۲
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عنوان انگلیسی Radiographic Predictors for Short-term Functional Outcome after Radial Head Arthroplasty in Patients with Persistent Symptoms after Treatment for Radial Head
چکیده انگلیسی مقاله Background: Evaluation of the accurate position after radial head arthroplasty remains a challenge for surgeons.Standard radiographs are used to evaluate the position of the implant, however, results regarding radiographicdeficiencies on clinical outcome are not consistent. In this retrospective study our main aim was to determine if subtleradiographic deficiencies after radial head arthroplasty can predict functional outcomes measured with the Mayo ElbowPerformance Score (MEPS).Methods: A total of 24 patients, that had a press-fit bipolar radial head arthroplasty because of persistent symptomsafter treatment of a radial head fracture, were included. The mean follow-up time was 27 months and the MEPS wasassessed at the final follow-up. Three upper extremity orthopaedic surgeons evaluated 12 potential deficiencies onanteroposterior and lateral radiographs in consensus agreement.Results: The median MEPS was 97.5 (Interquartile Range 82.5-100). No association was found between the presenceof subtle radiographic deficiencies and MEPS.Conclusion: Functional outcome of the elbow after uncemented press-fit bipolar radial head arthroplasty is notassociated with subtle radiographic deficiencies. Therefore, surgeons might accept small imperfections on postoperativeradiographs.Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Arthroplasty, Fracture, Outcome, Radial head, radiographs
نویسندگان مقاله | Femke M.A.P. claessen
Orthotrauma Research Center Amsterdam, University of Amsterdam, Amsterdam, the Netherlands; Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA


| Bexkens, Rens
Orthotrauma Research Center Amsterdam, University of Amsterdam, Amsterdam, the Netherlands; Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA


| I. F. Kodde
Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, the Netherlands; Department of Orthopaedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, the Netherlands


| Job N. Doornberg
Academic Medical Center, Amsterdam, the Netherlands, Department of Orthopaedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, the Netherlands


| Michel P. J. V. Bekerom
Department of Orthopaedic Surgery, Shoulder and Elbow Unit, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands


| Denise Eygendaal
Orthopaedic Surgeon, Department of Orthopaedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, the Netherlands
نشانی اینترنتی http://abjs.mums.ac.ir/article_13638.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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