Mason Ⅲ radial head fractures treated with open reduction and internal fixation and Clinical Analysis.docVIP

 PAGE \* MERGEFORMAT 7 Mason Ⅲ radial head fractures treated with open reduction and internal fixation and Clinical Analysis [Keywords:] Fracture 1 Clinical data 1.1 General Information Of the 19 cases, 11 males and 8 females, aged 21 to 67 years (mean 38.7 years). 7 cases the left and right measured in 12 patients. By Mason Category: All for the Mason Ⅲ type, 6 cases with deputy ligament injury, olecranon fracture in 1, after elbow dislocation and humeral head fracture in 1, proximal radius fracture in 1 case, after elbow dislocation associated with coronoid fracture in 1, coronary sudden avulsion fracture in 1 . Injury: 9 cases of abduction and trauma, falls injury in 2 cases, 8 cases of motor accidents. 1.2 Procedures General oblique posterolateral elbow taken approach, the elbow extensor carpi ulnaris muscle and into the gap. Incision of the joint capsule, exposing the radial head and neck and the lateral condyle, careful not to damage the deep branch of radial nerve. Associated with proximal radius and the radial neck fracture, the need to extend to the distal incision, and cut the annular ligament (annular ligament repair should be the end of surgery) to facilitate exposure. periosteal attachment of a split fracture of the head and neck pieces, should be be retained after a reset with a fine Kirschner wire can be temporarily fixed, and then pressure fixed with absorbable screws, bone screws to just pass through the contralateral cortex, the screw head should be buried below the cartilage, and make it a smooth articular surface, so as not to impede the joint activities. for radial head fractures around the split and the central collapse, collapse of the entire complex fractures of the first film, defects with cancellous bone filling the gap or taking the same side of the top epicondyle bone graft, bone, respectively, reset, temporarily fixed with a Kirschner wire from different directions, check out Kirschner wires were reset after a good