TREATMENT OF RADIAL HEAD FRACTURES OF MASON II TYPE IN ADULTS
Authors:
Mária Stránska 1; Jozef Masár 2; Jozef Drímal 1; Ivan Mudrák 1; Zoltán Cibula 1
Authors‘ workplace:
Clinic of Ortopedics and Traumatology, Comenius University in Bratislava, the Jessenius Faculty of Medicine in Martin, the Slovak Republic
1; Ortopedicko – traumatologická klinika, JLF UK a MFN Martin, Slovenská Republika
1; Ortopedics Department Orlová, Hospital in Karviná-Ráj, the Czech Republic
2; Ortopedie Orlová, NsP Karviná-Ráj, Česká Republika
2
Published in:
Úraz chir. 18., 2010, č.1
Overview
Purpose of the study:
The authors present postsurgical results in 21 patients treated in 1999–2008 for radial head fractures of Mason II type. They stress advantages of radial head osteosynthesis with Herbert screw in this type of fractures.
Material:
They evaluated 21 patients after surgical treatment of radial head fractures of Mason II type. Their set consisted of 9 men and 12 women. Mean age of the patients was 41.10 years (17–60 years). The patients were operated within an average of 6 days after the injury. They underwent post-surgical examination in an average of 3 years and 8 months (1–8 years).
Methods:
They evaluated the patients retrospectively by means of functional and X-ray examinations, Mayo Elbow Performance Score (ME-PS) [17], Radin and Riseborough score [25], Broberg and Morrey score [2] in modification according to Judet [8], Oxford Elbow score (OES) [19] and Disabilities of the Arm, Shoulder and Hand (DASH) Score [3].
Results:
Using MEPS they achieved excellent results in 13 patients and good results in 8 patients. Using Radin and Riseborough score they achieved good results in 13 patients, satisfactory results in 5 patients and bad results in 3 patients. Using Broberg and Morrey score in modification according to Judet they achieved excellent results in 9 patients, good results in 9 patients and satisfactory results in 3 patients. The mean value of DASH was 4.22 and the mean value of OES was 44.62 points, which manifests satisfactory joint function.
Conclusions:
Based on retrospective study the authors recommend use of Herbert screw in treatment of all radial head fractures of Mason II type if size of the fragment enables its use.
They consider ability to provide stable fixation of the fracture and possibility of early functional treatment of patients as the greatest positives of the Herbert screw.
Key words:
radial head fractures, Mason II, Herbert screw.
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