Operative versus nonoperative treatment of isolated Mason type Ⅱ radial head fracture
10.3760/cma.j.cn115530-20230128-00054
- VernacularTitle:手术与非手术治疗Mason Ⅱ型桡骨头骨折的疗效比较
- Author:
Changrun LI
1
;
Ting LI
;
Zhijian SUN
;
Meng MI
;
Honghu XIAO
;
Shangwei JI
;
Dongchen YAO
;
Fangfang DUAN
;
Xieyuan JIANG
Author Information
1. 首都医科大学附属北京积水潭医院创伤骨科，北京 100035
- Keywords:
Radius fractures;
Elbow joint;
Range of motion, articular;
Treatment outcome
- From:
Chinese Journal of Orthopaedic Trauma
2023;25(8):670-675
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the outcomes of isolated Mason type Ⅱ radial head fracture between operative and non-operative treatments.Methods:A retrospective study was conducted to analyze the data of patients who had been treated for isolated Mason type Ⅱ radial head fracture either operatively or nonoperatively at Department of Trauma and Orthopaedics, Beijing Jishuitan Hospital, Capital Medical University from January 2017 to October 2020. The patients were divided into a non-operative group and an operative group according to their treatment method. After 1:1 propensity score matching method was used to match the patients in the 2 groups, a total of 58 pairs of patients were successfully matched. In the operative group, there were 24 males and 34 females with a mean age of (40±14) years and a body mass index of (23.7±3.4) kg/m 2; in the non-operative group, there were 22 males and 36 females with a mean age of (42±13) years and a body mass index of (23.5±3.9) kg/m 2. Elbow flexion-extension, forearm rotation, Mayo elbow performance score (MEPS), Quick-disabilities of the arm, shoulder and hand (q-DASH) score and complications were compared between the 2 groups. Results:There was no significant difference in the baseline data between the 2 groups, indicating comparability ( P>0.05). All the patients were followed up for (24±9) months. At the last follow up in the operative and the non-operative groups, respectively, the elbow flexion-extension was 134° (132°, 136°) and 134°(131°, 136°), the forearm rotation 176° (174°, 179°) and 178° (175°, 179°), the MEPS 100 (100, 100) and 100 (100, 100), the q-DASH score 0 (0, 0) and 0 (0, 0), showing no significant differences between the 2 groups in the above items ( P>0.05). Elbow pain was reported respectively in 4 (6.9%) and 6 (10.3%) patients in the operative and non-operative groups, showing no significant difference between the 2 groups ( P>0.05). Conclusion:The outcomes of operative and non-operative treatments of isolated Mason type Ⅱ radial head fracture are comparable.
