The Effect of Monteggia and Transolecranon Fracture-Dislocations on Outcomes of Radial Head Arthroplasty

Description

In this presentation, Chloe Cadieux discusses the impact of Monteggia and transolecranon fracture-dislocations on the outcomes of radial head arthroplasty. She highlights the rarity of these injuries in adults and their potential to cause instability in the elbow, especially with an associated radial head fracture. After acknowledging the contributions of Dr. King and Dr. Grewal, Chloe outlines the research objectives and methodology, indicating that a comprehensive analysis was conducted on a database of cases spanning over 19 years, focusing on both isolated radial head fractures and more complex injuries.



The study involved careful selection and matching of cases based on various demographic factors, leading to a balanced cohort for comparison. The presentation details how patient outcomes were assessed through a range of metrics, including complications, reoperation rates, and patient-reported outcomes such as the DASH and PREE scores, analyzing complications’ severity from mild to severe. Notably, while there were no significant differences in functional outcomes or range of motion between the two groups, the more complex fracture-dislocations showed a higher rate of complications and reoperations. However, the complications were largely mild to moderate and did not adversely impact overall outcomes when appropriately treated.



Chloe also contrasts their findings with existing literature, noting similar patterns in complication rates but differing causes, and emphasizes the importance of preoperative counseling regarding potential complications. The presentation concludes with a call for larger, long-term studies to further explore the findings, cementing the relevance of careful risk assessment in future surgical decisions.

DOI: 10.1302/3114-220945

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