Modified Mason type III and IV radial head fractures: results of different surgical treatments

Modified Mason type III and IV radial head fractures: results of different surgical treatments

Authors

  • Francesco Pogliacomi Orthopaedics and Traumatology Clinic. Department of Surgical Sciences. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Paolo Schiavi
  • Alessio Pedrazzini PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Alessandro Nosenzo PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Silvio Tocco Studio Terapico Kaiser, Via Trento 15/A, 43100 Parma, Italy
  • Francesco Ceccarelli PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION

Keywords:

elbow, fracture, radial head, resection, prosthesis, osteosynthesis.

Abstract

Background and aim. Fractures of the radial head account for 4% of all fractures and 33 % of all elbow fractures. Their treatment is somewhat challenging and diversified, especially in more complex fractures (type III and IV of modified Mason’s classification). The aim of this study was to identify the best surgical treatment for patients having sustained these latter lesions and outline possible predictive factors of worse outcomes.

Material and Methods. Data were retrospectively collected for 63 patients affected by radial head fracture and operated between 2006 and 2014 at the University Hospital of Parma. In 34 patients open reduction and internal fixation (ORIF) was used, in 20 radial head arthroplasty (RHA) was the treatment choice and radial head resection (RHR) was done in the remaining 9. Clinical and radiographic  assessments were done at a minimum follow-up of 1 year. Clinical evaluation was performed with the Mayo Elbow performance Score (MEPS).

Results. No statistical differences were observed in either type between the MEPS of affected and unaffected elbow. Multiple regression analysis showed that modified Mason IV fractures were a predictive factor of worse outcome and that an associated coronoid fracture can lead to a higher instability of elbow. Mason IV fractures treated with primary RHA are associated to better outcomes.

Conclusion. According to this retrospective clinical study, it was not possible to identify the optimal surgical treatment for Mason type III fractures. However, RHA seems to be the preferred choice for Mason type IV fractures. These latter types of lesions are associated to worse outcomes.

Downloads

Published

14-12-2015

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Modified Mason type III and IV radial head fractures: results of different surgical treatments. Acta Biomed [Internet]. 2015 Dec. 14 [cited 2024 May 29];86(3):242-50. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/4984

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 7 > >>