Evaluation of results of fracture head and neck of radius managed by varius methods

Sambit Kumar Panda,Surai Soren,Rabindra Kumar Nayak,Ashok Kumar Nayak,Pravash Ranjan Parida

doi:10.18231/j.pjms.2021.055

Abstract

Radial head fractures are the most frequent fracture type reported around the elbow. Fractures have been documented to occur in isolation or with other associated osseous and soft tissue injuries. However, despite intensive research into these injuries, controversies still exist regarding the role of further imaging modalities, the use of non-operative management, as well as the indication and technique for operative intervention. To analyses the clinical and functional outcome of patients with head and neck fracture of radius managed by conservative method, open reduction and internal fixation, radial head prosthesis and radial head excision. This study “evaluation of results of fracture head and neck of radius managed by various methods” was carried out in M.K.C.G Medical College, Berhampur from September 2017 to October 2019. Eighty patients of radial head and neck fractures were treated and hereby included in our study. We collected records of the patients by asking the patients history and examining the patients. Essential investigations of all the patients were done. The primary outcome measures were the surgeon reported Mayo Elbow Score (MES) and the patient reported Short Musculoskeletal Function Assessment (SMFA). Current evidence supports open reduction and internal fixation of simple Mason type II fractures. For Mason type III fractures, controversy still exists regarding the optimal treatment. Studies currently show good to excellent results with radial head replacement in the majority of patients with Mason type III fractures with three or more fracture fragments.

Highlights

Radial head fractures are the most frequent fracture type reported around the elbow. 1,2 Fractures have been documented to occur in isolation or with other associated osseous and soft tissue injuries. 3–6 With awareness for the potential patterns of injury essential in determining the appropriate management to attain restoration of
Appropriate management of radial head injury is important in restoring the normal mechanics and anatomy of the elbow joint. 14,15 Associated bony and ligamentous injury must be addressed at the same time
We prefer this method when it can be technically accomplished. 16–18 Radial head arthroplasty is needed for more complex injuries, and the surgeon should always have implants available in the operating room when managing these injuries. 10,19,20 the preferential use of either ORIF or replacement continues to cause much debate and controversy

Summary

Introduction

Radial head fractures are the most frequent fracture type reported around the elbow. 1,2 Fractures have been documented to occur in isolation or with other associated osseous and soft tissue injuries. 3–6 With awareness for the potential patterns of injury essential in determining the appropriate management to attain restoration of. 9,10 Management includes non operative treatment for isolated stable radial head fractures (Mason 1 and type 2), with a variety of operative techniques used for the unstable fracture patterns There has been an increased appreciation for the role of the radial head in elbow stability, the benefits and limitations of the fracture classification systems available, as well as the clinical relevance of associated injuries. 1,3 despite intensive research into these injuries, controversies still exist regarding the role of further imaging modalities, the use of non-operative management, as well as the indication and technique for operative intervention.[11] There is a lack of prospective short and long term patient reported outcome data for the simple isolated radial head and neck fractures, which clearly defines the indication and outcome following the management of these injuries

Aims and Objective

Observation and Result

Findings

Discussion

Conclusion