Aim: We aimed to show that successful results can be obtained by combining the fractured parts over the operating table and fixing them with an anatomic plate in Mason type 3 - 4 multi-fragmented and / or displaced radial head fractures.
Materials and Methods: Eleven cases of the 29 patients, operated in Yıldırım Beyazıt University Ankara Atatürk Education and Research hospital with the diagnosis of Mason type 3-4 radius head fracture, between June 2005–October 2011, in which fracture reducted outside, than providing the head reconstruction and fixing with radius head plate; were evaluated retrospectively.
Results: Eight patients were male, 3 were female. Patient’s ages ranged from 24 to 47 years of age with a mean age of 35 years. Mean follow-up was 44,9 months. Patients were evaluated for elbow with disabilities of the arm, shoulder and hand outcome measures and Mayo elbow performance index with radiological examination of the fractures.
Conclusion: Radial head is secondary stabilizer to the elbow and forearm. In the cases of undergoing resection and/or prostetic replacement after unsuccessful reduction of radius head fractures because of crash or deplacement such as Mason type 3 – 4, trying to combine the parts of the fracture at the surgery table, than reconstruction of the head following by fixation with anatomic plate, can be an operational alternative especially in younger patients.
Key Words: Radius Fractures; Fractures-Comminuted; Fracture Fixation-Internal; Arthroplasty-Replacement.
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