Radial head fracture treatment options.doc

 PAGE \* MERGEFORMAT 10 Radial head fracture treatment options Of: Wangjun Chen, Zheng Yongmao, diesel charge, Chenming Guo [Abstract] Objective To discuss the treatment of radial head fractures and the effects. Methods January 2001 to January 2006 Treatment of radial head fractures in 35 cases, according to Manson type, -type in 9 cases, type in 11 cases, combined medial elbow collateral ligament injury in 3 cases, 13 cases, combined elbow medial collateral ligament injury in 5 cases, Essex Lopresti injury in 1, type 2 cases were complicated elbow medial collateral ligament injury, including 1 case of fracture of ulna coronoid process. Braking of elbow fractures functional exercise after 2 weeks, radial head fractures after open reduction and fixation, check the valgus stability of elbow extension position, the early functional exercise of the elbow, type or radial head fractures with open reduction resection, 3 weeks cast immobilization, first reset elbow fracture, elbow lateral approach with open reduction and fixation of radial head, coronoid process fracture combined anterior elbow, open reduction and fixation, plaster immobilization for 3 weeks. Results 30 patients followed up by an average of 2.1 years, according to Anderson elbow flexion and forearm rotation evaluation criteria evaluation. in 7 cases: excellent in 5 cases, good in 2 cases, type in 9 cases: excellent in 4 cases, good in 4 cases, 1 poor, 12 cases of type: excellent in 5 cases, good in 2 cases, 1 case and poor in 4 cases, type 2 patients: 1 case and poor in 1. Conclusion radial head fractures by Manson type, with the damage level increases, treatment become worse. combined elbow medial collateral ligament injury, surgery completed check-bit valgus stability of elbow extension, instability by cast immobilization for 3 weeks, do not cut repair. radial head resection for Manson-type of open reduction and fixation difficulties, the effect is good. [Keywords:] radial head fr