Micro-screw fixation for radial head fractures observed.doc

 PAGE \* MERGEFORMAT 10 Micro-screw fixation for radial head fractures observed [Keywords:] the radial head, fractures, open reduction, internal fixation Radial head fractures are prone to elbow injury in adults, often accompanied by dysfunction of forearm rotation. For severe unstable fractures, external fixation alone is difficult to maintain position, the traditional treatment is resection of the radial head. Since February 2004 ~ September 2008 31 patients in our hospital radial head fracture in a miniature screws satisfactory outcome, are reported below. Materials and Methods 1. General Information The group of 18 males and 13 females, aged 17 to 63 years, mean 34 years. The causes of injury: falling from height injuries or injuries in 16 cases, 10 cases of traffic accidents, sports injuries in 5 cases. The main side of the upper extremity in 20 cases , 11 cases of non-main side of the upper extremity. there were 11 cases with other parts of the injuries, including 2 cases of coronoid fractures, ipsilateral olecranon fracture, 2 cases of humeral condylar fractures in 3 cases, 1 case of femoral shaft fractures, ipsilateral shoulder dislocation 1 case of combined radial nerve injury in 2 cases. 3 cases of open fractures, closed fractures in 28 cases, according to Mason type [1]: 18 cases, type in 13 cases. 2. Treatment With brachial plexus anesthesia, exsanguination tourniquet on the balloon. Take Kocher approach, intraoperative pronation limb in order to avoid the deep branch of radial nerve injury, annular ligament and partial cut supinator, fully exposed to the radial head and radial neck, on the Mason type of patients under direct vision reduction, cloth clamp fixed, using a micro-screw fixation. of Mason fractures, the radial head of the bone fragments removed in vitro assembly and restore the head anatomy for later 2 to 3 titanium screw fixation phalanx, such as bone defects, or taken from the iliac bone from the lateral condyl