Abstract:
Objective: To assess the functional outcome of radial head fracture Mason type III and IV treated with K-wire fixation.
Materials and Methods:This prospective study was conducted at Department of Orthopaedics,Civil Hospital,Dow University
of Health Sciences Karachi from 2013 to 2015. Patients with Radial head fracture type III and IV were included in the study.
Results:A total of 42 patients were included in this study. Out of these 36 were males and 6 were females. Right side was
injured in 18 patients and left side in 24 patients. 32 patients were with Mason type III radial head fracture and 10 were Mason
type IV fractures. All fractures were fixed with open reduction and internal fixation with K-wire. Lateral approach was used
in all fractures. In Type IV elbow was reduced with close technique. Outcome was measured on the basis of Morrey elbow
scoring system. 22 patients with type III radial head fracture had excellent results while10 with type III had good result. All
patients with radial head fractureType IV had good results.
Conclusion:Assessment of functional outcome of radial head fracture Mason type III treated with K-wire fixation showed
excellent outcome in majority of patients while Type IV had good outcome.Mason type III radial head fractures should be
reduced and fixed with K-wire. It maintains the stability of elbow joint and elbow function.