On-table reconstruction and fixation of Mason type III radial head fractures

作     者：G.N. Kiran Kumar Gaurav Sharma Kamran Farooque Vijay Sharma Vaibhav Jain Ravijot Singh Vivek Morey Kumar G.N. Kiran;Sharma Gaurav;Farooque Kamran;Sharma Vijay;Jain Vaibhav;Singh Ravijot;Morey Vivek

作者机构：Department of Orthopaedics All India Institute of Medical Sciences New Delhi 110029~ India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2015年第18卷第5期

页      面：288-292页

核心收录：

学科分类：0403[教育学-体育学] 12[管理学] 1204[管理学-公共管理] 082803[工学-农业生物环境与能源工程] 1002[医学-临床医学] 08[工学] 082304[工学-载运工具运用工程] 0828[工学-农业工程] 080204[工学-车辆工程] 0802[工学-机械工程] 120405[管理学-土地资源管理] 0823[工学-交通运输工程] 

主　　题：On-table reconstruction technique Radial head fractures Bone plates 

摘      要：Purpose： To evaluate the functional and radiological outcome of comminuted radial head fractures, which were not amenable for classical open reduction with internal fixation, treated by on-table reconstruction and fixation using low profile plates. Methods： We reviewed 6 patients of Mason type Ill radial head fractures treated by on-table recon- struction technique between 2011 and 2013. There were 5 men and 1 woman with a mean age of 35 years （range 25-46 years）. All surgeries were carried out at our tertiary care level 1 trauma centre within a mean of 3 days （range 1-8 days） from date of injury using on-table reconstruction technique. The functional outcome was measured using elbow functional rating index described by Broberg and Morrey and the patient-based Disabilities of the Arm, Shoulder and Hand （DASH） outcome measure. Results： The mean follow-up period was 25 months, The average elbow flexion was 135~ （range 125~ -140~） and the average flexion contracture was 5~ （range 0-10~）. The average supination and pronation was 75~ （range ？0o-80~） and 70~ （range 65^-82~） respectively. According to Broberg and Morrey scoring system, the average score was 90 points （range 75-100）. The mean DASH score was 2.49 points, Conclusion： On-table reconstruction and fixation of comminuted radial head fractures using low profile plates is a reasonable option. The reconstructed radial head acts as spacer and provides reasonably good results and no surgical intervention is required for asymptomatic nonunion of these fractures regardless of the radiological findings.