Management of Mason Type-III Radial Head Fractures with a Titanium Prosthesis, Ligament Repair, and Early Mobilization

Radial Head Fractures—An Update

“…The biomechanical implications of radial head resection suggest that restoration of radiocapitellar contact with a radial head replacement is advisable, particularly given the reported success of newer-generation modular metallic implants. [25][26][27][28] Open reduction and internal fixation: Partial articular displaced radial head fractures can also be managed with open reduction and internal fixation (ORIF), with good results in most patients. 12,13 As discussed earlier, the amount of displacement that favors ORIF rather than nonsurgical treatment has not been elucidated.…”

“…Good clinical results have been reported for metallic radial head implants for comminuted radial head fractures in a number of recent reports. [25][26][27][28] However, the long-term effect on the capitellar articular cartilage and problems such as implant loosening and failure require further study.…”

Open Reduction and Internal Fixation of Mason Type III Radial Head Fractures With and Without an Associated Elbow Dislocation

“…1,2,6,7 Improvements in techniques and implants for surgical fixation and prosthetic replacement of the radial head have increased use of these treatments.…”

Radial Head Implant Arthroplasty

“…Once the radial head is removed, valgus stability of the elbow is again assessed by stress testing as described by Bain et al 14 A valgus stress is applied to the elbow with the forearm in a pronated position and the elbow in 30°of flexion. A ulnar collateral ligament injury is suspected if there is greater than 2 mm of narrowing between the radial neck and capitellum (Fig.…”