Abstract

* The ideal management of the isolated Mason type-II radial-head fracture is controversial, with studies supporting both nonoperative and operative management.* Inherent controversy remains in the precise definition of the Mason type-II injury and the degree of displacement considered acceptable for nonoperative treatment.* The limitations of current studies include their retrospective nature, lack of adequate controls, insufficient power, uncertain pre-injury functional scores, heterogeneous grouping of radial-head fractures, and variability in fixation techniques.* The design of future comparative studies may consider a suitably powered and controlled prospective study, utilizing a consistent fixation technique, performed at a high-volume center of excellence or at multiple sites.* The impact of patient factors on clinical outcomes warrants further exploration, and future research may consider focusing on potential approaches to modifiable risk factors.

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