Mini screw fixation of radial head fractures.doc

 PAGE \* MERGEFORMAT 10 Mini screw fixation of radial head fractures [Abstract] Objective To investigate the treatment of Mason type of micro screws and parts of Mason type of radial head fractures. Methods micro-hollow with open reduction and screw fixation in 11 cases of adult radial head fractures, elbow surgery early functional training, regular follow-up elbow joint in patients with X-ray film to observe the rotation of elbow and forearm activity. The results were followed up for 6 to 24 months, average 12.6 months. Postoperative X-ray film showed anatomic reduction in 8 cases, 3 cases of joint Surface subsidence is less than 2 mm. elbow function after 1 year evaluation standard based on Metaizeau excellent in 7 cases, good in 3 cases and poor in 1 case, good rate of 90.9%. Conclusion Mason type and part of the Mason type of radial head fractures treated with open reduction, micro-hollow screw fixation, the patient can be an early functional exercises, and access to good effect. [Keywords:] radial head fracture, internal fixation, micro screws Radial head on elbow stability and function have a greater impact, radial head resection, there are many long-term complications, such as pain, elbow instability, proximal radial displacement, muscle weakness and osteoarthritis. January 2005 to December 2007 the author using micro hollow screw type Mason 11 cases and some Mason type radial head fractures, the overall results were satisfactory, the report is as follows. 1 Materials and Methods 1.1 General Information of this group 11 patients, 7 males and 4 females, aged 22 to 65 years, mean 32.3 years old. Cause of injury: falls during exercise in 7 cases, 3 cases of high falls, traffic injuries in 1 case. Left 3 cases, 8 cases the right side, both fresh fractures, according to the modified Mason type, in 7 cases, 4 cases of combined elbow medial collateral ligament injury in 4 cases, 1 case of fracture of ulna coronoid process. 1.2 surgical