Newly defined fracture pattern specific to Mason III radial head fractures: fracture description, management and outcomes using screw fixation

Duckworth, D.; Avakian, Zorik; Chien, Calvin

doi:10.1111/j.1445-2197.2012.06094.x

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…The screws can be placed within or outside the safe zone for optimal fixation without causing any impingement or stiffness owing to the well-buried heads. 20 In our study, all 16 patients with screw fixation achieved good-to-excellent results, compared with 92.3% in radial head arthroplasty and 75% in plate fixation. The better outcome after screw fixation was due to the smaller surgical exposure, compared with the larger exposure in plate fixation or arthroplasty.…”

Section: Discussionmentioning

confidence: 48%

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Shen

Chee

2016

J Orthop Surg (Hong Kong)

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Section: Discussionmentioning

confidence: 48%

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Shen

Chee

2016

J Orthop Surg (Hong Kong)

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“…Unlike the plate, the screws can be also placed outside the safe zone, on the fragments within the joint; therefore, less stiffness and over stuffing can be observed. [ 26 ] In addition, the screws increase compression at the fracture line, stabilize the fracture and allow faster union with the effect of less periosteal stripping. [ 27 ] In our study, the union time of the screw-fixed group was found to be significantly shorter.…”

Section: Discussionmentioning

confidence: 99%

Comparing the outcomes of tripod technique and locked plate fixation for the treatment of Mason type 3 radial head fractures

Faruk Adıgüzel,

Orman,

Ayhan Ünkar

et al. 2023

Jt Dis Relat Surg

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Objectives In this study, we aimed to compare functional outcomes and complication rates of tripod technique and locked plate fixation used in Mason type 3 radial head fractures. Patients and methods Between January 2012 and December 2019, a total of 27 patients (16 males, 11 females; median age: 43.2 years; range, 20 to 68 years) with Mason type 3 radial head fractures were retrospectively analyzed. The patients were divided into two groups according to fixation method used. Group 1 consisted of 12 patients who were treated with tripod technique, and Group 2 consisted of 15 patients who were treated with locked plate fixation. Operation time, follow-up period, length of hospital stay, union time, Disabilities of Arm, Shoulder and Hand (DASH) scores, range of motions and complications were recorded. Results The median time to bone union was 46.7 days in Group 1, which was significantly shorter than Group 2 (p<0.001). The median forearm pronation-supination arc was 123.75° (range, 30° to 180°) in Group 1 and was 94° (range, 45° to 180°) in Group 2. There was no significant difference in the forearm rotation between the groups. The median elbow flexion-extension arc was 99.17° (range, 65° to 130°) in Group 1 and was 80.33° (range, 30° to 130°) in Group 2. No statistically significant difference was found in the flexion-extension and pronationsupination arc degrees. There was no significant difference in the postoperative DASH scores between the groups (p=0.464). Conclusion Our study results demonstrate that comparable results can be achieved in both techniques regarding functional outcome and range of motion. With a shorter union time and less complication rates, the tripod technique should be considered as the primary treatment method for the comminuted radial head fractures without a metaphyseal defect.

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“…5,6 Studies using the Herbert’s screw for fixation of the Mason II fractures often yielded excellent results, while that of Mason III gave satisfactory results. 7 In addition to that, a study by Duckworth et al 8 on the fixation of a specific type of Mason III fracture using headless screws also suggested a positive outcome of screw fixation technique on comminuted fractures. Recent publication by Demiroglu et al 9 found type II Mason fracture fixed by HS showed favourable results, and Wu et al 10 found that headless screws are as effective as plates with less complication in their series.…”

Section: Introductionmentioning

confidence: 94%

Prospective study of surgical fixation of radial head fractures using cannulated headless compression screws for simple and complex radial head fractures

Dixit

Tan

et al. 2017

Journal of Orthopaedic Surgery

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Overall clinical and functional outcomes of this technique are satisfactory in both simple and complex fracture groups, with simple Mason II fracture group doing better than the complex three-part Mason III and IV fractures in terms of Mayo Elbow Score and range of motion. Screw fixation has the advantage of less periosteal stripping and less impingement compared to other fixation methods and also allows for flexible fixation in constrained areas. Headless compression screw fixation can be considered as a method of fracture fixation for both simple and complex three-part radial head fractures.

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Newly defined fracture pattern specific to Mason III radial head fractures: fracture description, management and outcomes using screw fixation

Cited by 9 publications

References 17 publications

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Screw Fixation versus Arthroplasty versus Plate Fixation for 3-Part Radial Head Fractures

Comparing the outcomes of tripod technique and locked plate fixation for the treatment of Mason type 3 radial head fractures

Prospective study of surgical fixation of radial head fractures using cannulated headless compression screws for simple and complex radial head fractures

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