Peculiarities of Rehabilitation of Patients with Radial Head Fractures after Reconstructive Surgeries

I.M. Kurinny, O.S. Strafun

Abstract


The article deals with the use of modern markers of inSummary. About 4.3 % of all fractures are fractures of bones of the elbow region. Elbow joint is disposed to contractures development after injuries and fractures of its bones can often lead to significant functional impairment. This paper presents recommendations about rehabilitation of patients after radial head reconstructive surgeries, that where designed in our clinic.
We analyzed long-term results of treatment in patients after reconstructive surgeries for proximal radius fractures. The total number of observations was 46: 18 men and 28 women. The age of patients ranged from 7 to 62 years and in average was 30.03 ± 12.66 years. The right extremity was injured in 29 cases, the left — in 17.
Rehabilitation of patients after surgical treatment of radial head fractures is very important in achieving positive treatment outcomes. Its nature and intensity depends on the type of surgery and the time elapsed after surgery. Important milestones in achieving of full range of motion in the elbow, we believe are: plastering of patient in the position of maximal extension at the elbow postoperatively; the beginning of an active rehabilitation program from the 1st day after surgery; use of changeable immobilization splints for elbow joint in the position of maximum flexion and extension of the elbow joint with their gradual replacement when the angle is larger.
Developed system of postoperative elbow rehabilitation allowed getting 80 % of good and excellent results of treatment in patients with radial head fractures.


Keywords


radial head fractures; rehabilitation; elbow contracture

References


Жабин Г.И., Федюнина С.Ю., Амбросенков А.В., Бояров А.А. Замещение головки лучевой кости биполярным эндопротезом // Травматология и ортопедия России. — 2011. — № 1(59). — С. 42-46.

Скляренко Є.Т. Травматологія та ортопедія. — К.: Здоров’я, 2005. — 382 с.

Шаповалов В.М., Грицанова А.И., Ерохова А.Н. Травматология и ортопедия. — СПб.: Фолиант, 2004. — 543 с.

Badia A, Stennett C. Sports-related injuries of the elbow // J. Hand Ther. — 2006. — № 19(2). — Р. 206-26.

Bonutti P.M., Windau J.E., Ables B.A., Miller B.G. Static progressive stretch to reestablish elbow range of motion // Clin. Orthop. Relat Res. — 1994. — № 303. — Р. 128-134.

Ikeda M., Sugiyama К., Kang С., Takagaki Т., Oka Y. Comminuted Fractures of the Radial Head. Comparison of Resectionand Internal Fixation // J. Bone Joint Surg. Am. — 2005. — № 87. — Р. 76-84.

Janssen R.P.A., Vegter J. Resection of the radial head after Mason type-3 fractures of the elbow. Follow-up at 16 to 30 years // J. Bone Joint Surg. — 1998. — № 80-B. — Р. 231-233.

MacDermid J.C., Vincent J.I., Kieffer L., Kieffer A., Demaiter J., MacIntosh S. A Survey of Practice Patterns for Rehabilitation Post Elbow Fracture // The Open Orthopaedics Journal. — 2012. — Vol. 6. — Р. 429-439.

Nance J., Lazaro R., Umphred D. The effect of early physical therapy intervention following elbow fractureon a postmenopausal female with multiplemedical problems // J. Phys. Ther. Sci. — 2004. — 16(2). — 159-64.

Pires R., Rezende F.L., Mendes E.C., Carvalho A., Almeida I.A., Reis F.B., Andrade M. Radial Head Fractures: Mason Johnston’s Classification Reproducibility // Malaysian Orthopaedic Journal. — 2011. — Vol 5, № 2. — P. 6-10.

Soeur R. Fractures of the limbs. The relationship between mechanism and treatment. — Bruxelles: La Clinique Orthopеdique, 1981. — Р. 465-478.

Stanley D., Trail I. Operative elbow surgery. — Elsevier, 2012. — 791 p.

Wilk K.E., Reinold M.M., Andrews J.R. Rehabilitation of the thrower’s elbow // Clin. Sports Med. — 2004. — № 23. — Р. 765-801.

Wolff A. Elbow fractures and dislocations // Cioppa-Mosca J., Cahill J.B., Tucker C.Y., Eds. Postsurgical rehabilitation guidelines for the orthopedic clinician. — St. Louis, Mo.: Mosby Elsevier, 2006.




DOI: https://doi.org/10.22141/1608-1706.1.15.2014.81284

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru