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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 7, 1040-1044.
doi: 10.1302/0301-620X.85B7.13823  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Open reduction and internal fixation of comminuted fractures of the radial head using low-profile mini-plates

M. Ikeda, MD, PhD, Senior Lecturer; Y. Yamashina, MD, Orthopaedic Surgeon; M. Kamimoto, MD, Orthopaedic Surgeon; and Y. Oka, MD, PhD, Associate Professor

Department of Orthopaedic Surgery, Tokai University Oiso Hospital, 21-1 Gakkyo, Oiso, Naka-gun, Kanagawa 259-0198, Japan.

Correspondence should be sent to Dr M. Ikeda.

Between 1996 and 2000, we treated ten patients with severely comminuted fractures of the radial head using low-profile mini-plates. Their mean age was 42 years (24 to 71). Three fractures were Mason type III and seven were Mason-Johnston type IV. At a mean follow-up of 28.5 months (15 to 44), all fractures had united. The plates were removed in nine patients.

No patient had difficulty with daily activities or symptoms of instability of the elbow. The mean range of flexion of the elbow was from 7° to 135°, with 74° of supination and 85° of pronation. According to the Broberg and Morrey functional elbow index, the mean score was 90.7 points (73 to 100), and the outcome was excellent in three patients, good in six and fair in one.

These results compare favourably with those reported previously. The technique is applicable to severely comminuted fractures of the radial head which otherwise would require excision.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General