Treatment of displaced radial head fractures by internal fixation with absorbable pins.
- Author:
Zhen-hai HOU
1
;
Ji-hong ZHOU
;
Jian-guo SHI
;
Yi-bin SHI
;
Jun-jie XIA
;
Jun YAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Biomechanical Phenomena; Female; Fracture Fixation, Internal; methods; Humans; Male; Middle Aged; Prostheses and Implants; Prosthesis Design; Radius; surgery; Radius Fractures; physiopathology; surgery
- From: Chinese Journal of Traumatology 2006;9(6):356-358
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo study the effect of internal fixation with absorbable pins on treatment of displaced radial head fractures.
METHODSFrom May 1999 to May 2004, 16 patients with displaced radial head fractures (Mason types II and III) were treated with internal fixation by absorbable pins. The duration of follow-up averaged 22.6 months (12-58 months). The outcome was assessed on the basis of elbow motion, radiographic findings and the functional rating score delineated by Broberg and Morrey.
RESULTSAll fractures healed within 10 months without avascular necrosis of radial head. The mean elbow flexion loss was 15 degrees (0 degrees-35 degrees), and pronation and supination decreased by 10 degrees (0 degrees-30 degrees) on average compared with those of the contralateral elbow. Five patients had an excellent result, 6 a good result, and 3 a fair result according to the criteria of Borberg and Morrey.
CONCLUSIONSInternal fixation with absorbable pins is an effective method in treating displaced radial head fractures. It can maintain the biomechanical stability of forearm, improve the elbow function and avoid second operation.
