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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Functional assessment, quality of life and associated complications of radial head prosthesis. Experience of our center

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  • presenting/speaker Cristina Llarena Barroso - Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain
  • Jose A. Oteo - Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain
  • Patricia Merino - Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain
  • Pedro Jiménez - Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain
  • Francisco Javier Garcia Lazaro - Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-870

doi: 10.3205/19ifssh0072, urn:nbn:de:0183-19ifssh00723

Published: February 6, 2020

© 2020 Llarena Barroso et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Radial head arthroplasty(RHA) is an increasingly frequent surgical intervention in our country, usually as treatment for radial head fractures or sequela.

The objective of our work is to describe the functional results, complications and quality of life of patients who underwent RHA in our center.

Methods: All cases of RHA (Mason type III-IV radial head fractures) in our center have a minimum duration of follow-up of one year.

Next data was obtained from each patient: age, gender, laterality and type of fracture, type of stem, complications and associated fractures, range of motion and strength of both hands, and radiographic presence of loosening, osteoarthritis and heterotopic calcifications. Pain was evaluated according to the visual analogic scale (VAS). Functionality and quality of life of patients were assessed with DASH and SF-36 questionnaires, the satisfaction of the patient was evaluated with a subjective scale ranged from 1 to 10.

For the statistical calculation we use the S of Spearman (Correlations) and Mann Whitney U and Chi-square tests (Differences)

Results and Conclusions: 10 patients (4 women, 6 men), the mean age was 57.4 years. 2 fractures affected the right side. In 6 cases a long stem was used. Loosening, osteoarthritis and calcifications appeared in 30, 50 and 50% respectively. Average values of VAS, DASH and SF-36 were 3.1, 28.4 and 62.5% respectively. Personal average satisfaction was 8.5. There was an 80% of associated fractures, being olecranon and coronoid apophysis the most frequent ones. Complications occurred in 30% of cases.

Significative differences between both hands were only found on supination (p0.043), extension (p0.042), and pinch (p0.043) and grip strength(p0.037).

A significative correlation was found between grip strength of affected hand and DASH scale (s-0.705,p0.023).

A correlation was found between subjective satisfaction and next scales: DASH(s-0.772,p0.009) and VAS(s-0.665,p0.036), but satisfaction did not correlate with SF-36(s0.601,p0.066).

We found no relationship between SF-36, DASH, VAS and personal satisfaction and presence of loosening, osteoarthritis and heterotopic calcifications, as well as between type of stem and presence of loosening.

We concluded that RHA (Acumed®) achieves a high degree of satisfaction in our patients, nevertheless a decrease in their capacity for extension, supination and pinch and grip strength in affected hand was found. The subjective scale used to assess personal satisfaction correlates with DASH and VAS.