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Mason II–III radial head and neck fractures treated with locking plate fixation

Şahin Çepni, Enejd Veizi, Ali Şahin, Ahmet Fırat, Kasım Kılıçarslan, Mesut Tahta.

Abstract
Introduction :Internal fixation of radial head and neck fractures is difficult and postoperative complications are common. Our aim in this study was to evaluate elbow function and postoperative complications in patients who underwent internal fixation with the diagnosis of mason 2 and 3 radial head and neck fractures and we discuss our findings in light of the recent literature
Materials and Methods: We included 27 patients with treatment radial head and neck fractures. Patients were an average age of 35.4 years (23 – 58) and mean follow up time was 31.6 months (13 – 61). 5 patients (18.5%) had a Mason type 2 fracture and 22 patients (81.5%) Mason type 3 fracture. Postoperative assessments included evaluation of range ofmotion, functional scores, and radiologic findings. We assessed fracture healing, surgical complications,revision surgery, and the need for metal removal.
Results: The mean extension deficit was 8° (range 0°- 25°), average elbow flexion 138° (range 95°- 160°), pronation 70° (range 30°- 90°) and supination was 64° (range 20°- 90°). The Mayo Elbow Performance Score showed a mean score of 92 (range 60 – 100). The mean Disability of Arm, Shoulder and Hand score was 15.5 (range 2.5 - 55.2). There were 7 (25,9 %) complications. A total of 6 patients underwent a revision surgery (22.2 %).
Conclusions: In conclusion, internal fixation could be an advantageous treatment modality for type II – III radial head and neck fractures. On the other hand, achieving a stable elbow joint should take precedence and arthroplasty should be considered in severely comminuted cases where fixation is not possible.

Key words: Radial head fracture; radial neck fracture;elbow function


 
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How to Cite this Article
Pubmed Style

Cepni S, Veizi E, Sahin A, AF, Kilicarslan K, Tahta M. Mason II–III radial head and neck fractures treated with locking plate fixation. doi:10.5455/handmicrosurg.41382


Web Style

Cepni S, Veizi E, Sahin A, AF, Kilicarslan K, Tahta M. Mason II–III radial head and neck fractures treated with locking plate fixation. http://handmicrosurgeryjournal.com/?mno=41382 [Access: February 20, 2021]. doi:10.5455/handmicrosurg.41382


AMA (American Medical Association) Style

Cepni S, Veizi E, Sahin A, AF, Kilicarslan K, Tahta M. Mason II–III radial head and neck fractures treated with locking plate fixation. doi:10.5455/handmicrosurg.41382



Vancouver/ICMJE Style

Cepni S, Veizi E, Sahin A, AF, Kilicarslan K, Tahta M. Mason II–III radial head and neck fractures treated with locking plate fixation. doi:10.5455/handmicrosurg.41382



Harvard Style

Cepni, S., Veizi, . E., Sahin, . A., , . A. F., Kilicarslan, . K. & Tahta, . M. (0) Mason II–III radial head and neck fractures treated with locking plate fixation. doi:10.5455/handmicrosurg.41382



Turabian Style

Cepni, Sahin, Enejd Veizi, Ali Sahin, Ahmet Firat, Kasim Kilicarslan, and Mesut Tahta. 0. Mason II–III radial head and neck fractures treated with locking plate fixation. doi:10.5455/handmicrosurg.41382



Chicago Style

Cepni, Sahin, Enejd Veizi, Ali Sahin, Ahmet Firat, Kasim Kilicarslan, and Mesut Tahta. "Mason II–III radial head and neck fractures treated with locking plate fixation." doi:10.5455/handmicrosurg.41382



MLA (The Modern Language Association) Style

Cepni, Sahin, Enejd Veizi, Ali Sahin, Ahmet Firat, Kasim Kilicarslan, and Mesut Tahta. "Mason II–III radial head and neck fractures treated with locking plate fixation." doi:10.5455/handmicrosurg.41382



APA (American Psychological Association) Style

Cepni, S., Veizi, . E., Sahin, . A., , . A. F., Kilicarslan, . K. & Tahta, . M. (0) Mason II–III radial head and neck fractures treated with locking plate fixation. doi:10.5455/handmicrosurg.41382








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