The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Artificial radius head replacement versus internal fixation with miniplate and Herbert screw for Mason type III radius head fracture

Author : HU Xi-chun, HUANG Chang-ming, FAN Hua-qiang, ZHANG Shao-zhan, FU Yang-pan, DONG Huixiang, ZHANG Yun-kuan.     
Working unit : The Second Department of Orthopedics, Chenggong Hospital, 73 Group Army Hospital, Xiamen University, Xiamen 361003, China
Page : 1862-1866.
Key words : Mason type III radius head fracture, artificial radius head replacement, open reduction and internal fixation ORIF, miniplate, Herbert screw
Abstract: [Objective] To compare the early clinical outcomes of artificial radius head replacement versus internal fixation with miniplate and Herbert screw for treatment of Mason type III radius head fracture. [Methods] A retrospective study was done on 49 patients who underwent surgical treatment for Mason type III radial head fracture in our hospital from June 2012 to October 2018. In term of surgical procedures performed, 25 patients received artificial radius head replacement (the replacement group), while the remaining 24 patients underwent open reduction and internal fixation with miniplate and Herbert screws (the ORIF group) . [Results] All the patients received successful operations without serious intraoperative complications, such as radial nerve injuries. The incisions got primary healing in all patients without infection. The replacement group consumed significantly shorter operation time, associated with significantly less intraoperative blood loss than the ORIF group (P<0.05) . The follow up period lasted for 12~24 months with an average of (15.283.04) months. The Morrey score significantly increased in both groups as time went (P<0.05) , however, the replacement group proved significantly superior to the ORIF group in Morrey score at 1, 6 and 12 months postoperatively (P<0.05) . Regarding the late complication, only 2 cases of heterotopic ossification happened in the replacement group, whereas 1 case of heterotopic ossification, 1 case of plate breaking, 2 cases of delayed union of fracture and 1 case of nonunion of fracture accompanied with radial head deformity occurred in the ORIF group. The incidence of late complications proved significantly lower in the replacement group than the ORIF group (8.00% vs 20.83%, P<0.05) . [Conclusion] The artificial radius head takes advantages of shortening operation time, reducing intraoperative bleeding, improving recovery of elbow joint function, and decreasing incidence of complications over the open reduction and internal fixation for Mason type III radial head fractures.
summary:
Artificial radius head replacement versus internal fixation with miniplate and Herbert screw for Mason type III radius head fracture   
HU Xi-chun, HUANG Chang-ming, FAN Hua-qiang, ZHANG Shao-zhan, FU Yang-pan, DONG Huixiang, ZHANG Yun-kuan.
Orthop J Chin, 27(20):   1862-1866.