Clinical study of aescuven fort in the prevention of heterotopic ossification after operative treatment of radial head fractures with anterior bundle of medial collateral ligament injury

Abstract

Objective To compare the clinical efficacy of aescuven fort and indomethacin in the prevention of heterotopic ossification(HO) after operative treatment of radial head fractures with anterior bundle of medial collateral ligament(AMCL) injury. Methods A total of 41 patients with radial head fracture combined with AMCL injury leading to elbow valgus instability were randomly divided into 21 cases of the observation group(aescuven fort) and the 20 cases of control group(indomethacin), and were treated with aescuven fort of 600mg/d and indomethacin of 75mg/d for 6 weeks respectively.The incidence of adverse reactions of gastrointestinal tract in the two groups was statistically analyzed, and symptomatic treatment was given.Six weeks later, the incidence of HO was recorded by X-ray examination of the elbow joint.The range of motion(ROM) was recorded, and the excellent and good rate of the improved HSS score was calculated.The results were statistically analyzed. Results The incidence rates of gastrointestinal side effects in the observation group and control group were 9.5% and 35.0%, respectively, and the difference was statistically significant between the two groups(χ2=4.651, P=0.027). The incidence rate of HO in the observation groupwas 14.3%, which in the control group was 15.0%, there was no significant difference between the two groups(χ2=0.206, P=0.948). The ROM and excellent and good rate of the improved HSS score in the observation group and control group were[(119.2±19.7) ° and 86.9%]and [(120.8±16.3) ° and 88.7%], respectively, and the differences were statistically significant(t=2.023, P=0.613; χ2=0.176, P=0.675). Conclusion Aescuven fort can effectively prevent the formation of HO after operative treatment of radial head fracture with AMCL injury, similar with indomethacin.But the incidence rate of gastrointestinal side effects of aescuven fort is significantly lower than indomethacin. Key words: Radial head fracture; Aescuven; Collateral ligaments; Ossification, ectopic; Prevention