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Treatment of radial head fractures

DUAN Jun,DUAN Ping.Wuhan Central Hospital of China Construction Third Engineering Bureau,Wuhan 430070,China  
Objective To investigate the clinical effectiveness and treatments of radial head fracture.Methods The clinical data of 62 cases of radial head fractures were retrospectively analyzed.Twenty-four cases received conservative treatment,28 cases received open reduction plus internal fixation(ORIF),7 cases received resection of the radial head,and 3 cases received prosthesis replacement.Results All cases were followed up for 6-36 months.According to Broberg-Morrey elbow function assessment standard of therapeutic effectiveness,the excellent and good rate of conservative treatment,ORIF,radial head resection as well as artificial joint replacement was 87.5%,85.7%,71.4%,and 100%,respectively.Conclusion It is recommended to select suitable therapies for different types of radial head factures.Conservative treatment can be selected for type Mason Ⅰ;ORIF can be selected for type Mason Ⅱ,type Mason Ⅲ and part of type Mason Ⅳ;The resection of radial head or mental prosthesis replacement is alternative for part of type Mason Ⅳ.
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