Surgical treatment for Mason II-IV radial head fractures

Objective To investigate different surgical therapies and corresponding efficacies of Mason Ⅱ-Ⅳ radial head fracture. Methods The clinical data on S3 patients undergoing surgical treatment were retrospectively analyzed. Results All the patients were followed up for 16 to 48 months, with average of 17.3 months. Broderg and Morrey score criterion for were used evaluate elbow joint function. The average degree of flexion and extension in the elbow joint was 136°± 10.6° in the group with incision reduction and internal fixation and 130°± 8.5° in the group with radial head replacement, function score was 96.2 and 91.3, and total effective rate was 96.1% and 91.7%, respectively. Conclusions Incision reduction and internal fixation can be used for Mason Ⅱ-Ⅲ and partly Mason IV fracture with Kirschner wires, screws, and tiny plates. As a new technique, radial head replacement offers a better procedure for treatment. Key words: Radial head fracture;  Internal fixation;  Radial head replacement;  Clinical efficacy