Masontype of radial head fractures.docVIP

 PAGE \* MERGEFORMAT 7 Masontype of radial head fractures [Keywords:] Mason type of radial head fractures Radial head fracture is more common clinical elbow fracture, accounting for about 17% to 19% [1]. Comminuted radial head fracture, there are many controversies in the clinical, conventional resection of the radial head caused by a variety of far complications, has increasingly become a consensus. comminuted radial head fractures can lead to improper treatment of elbow pain, elbow instability, rotating dysfunction embolism. in our hospital from July 2005 to November 2007 with open Reset “T” shape or “L” shaped phalanx titanium plate fixation of radial neck fracture involving the Mason type of radial head fractures, 28 cases achieved good effect, as summarized below. 1 Materials and methods 1.1 Clinical data of the 28 patients, 22 males and 6 females, aged 8 to 62 years, an average of 31 years. The right side in 9 cases, 19 cases left, are radial head comminuted fracture, compression, involving the radial neck, The average time from injury to surgery 6 d (1 ~ 14 d), combined medial collateral ligament in 2 cases, combined humeral head cartilage exfoliation in 1. 1.2 Methods of brachial plexus anesthesia on tourniquet, posterolateral approach taken from the elbow extensor digitorum communis extensor carpi ulnaris muscle and between the access, if necessary, cut the annular ligament, careful not to damage the deep branch of radial nerve, radial bone exposed head and neck. a small piece broken off and were located in the lateral articular surface compression, the larger bone in the ulnar, radial head high degree of attention to the restoration, at the bottom of the articular surface with a fine Kirschner wire temporarily fixed, the first plant under the bone defect Article irradiated bone allograft into the support of the security zone “T” shape or “L” shaped phalanx titanium plate fixation, if the combined medial collateral ligament injury, a r