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Epidemiology and treatment of radial head fractures: a database analysis of over 70,000 inpatient cases

The Journal of Hand Surgery Aug 14, 2020

Klug A, Gramlich Y, Wincheringer D, et al. - The epidemiology of radial head fractures within a single national registry database was reviewed while analyzing trends in available treatments. Between 2007 and 2016, researchers performed a retrospective analysis of data provided by a national inpatient database registry applying the International Classification of Diseases code for radial head fractures and associated German Procedure Classification codes. They distinguished the number of major revision procedures and the revision burden for each procedure estimated. A total of 70,118 radial head fractures were included in the study. A higher number and incidence of surgical procedures, especially for comminuted radial head fractures over the study period were reported. The data revealed that open reduction and internal fixation remain the most frequently applied option, with the use of new fixation devices (eg, locking plates) elevating. Over the past 10 years, the use of RHA is more than doubled while the number of radial head resections reduced.

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