Radial Head Fracture Mason Type III and IV Treated with K-wire Fixation

Authors

  • Farooq Mamji
  • Badaruddin Sahito
  • Adeel Ahmed Siddiqui
  • Syed Mohammad Tariq
  • Dileep Kumar
  • Syed Itaaat Hussain Zaidi

Keywords:

Radial head, Fracture, Mason type III, Mason type IV, K-wire, Reduction,Fixation

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.

References

Harrison JWK, Chitre A, Lammin K, Warner JG, Hodgson

SP. Radial head fractures in adults. Current Orthopedics

;21(1):59-64

Saraf H ,Kasture S. Treatment of Mason type II Radial

head fractures with external fixation- A Novel Technique.

Internet Journal of Orthopedic Surgery.2014; 2(1)

DOI: 10.5580/IJOS.18208

Landin LA. Fracture patterns in children: Analysis of

,682 fractures with special reference to incidence, etiology

and secular changes in a Swedish urban population

-1979.Acta Orthop Scand Suppl 1983;202:1-109

Broberg M A, Morrey B F. Results of delayed excision

of the radial head after fracture. J Bone Joint Surg (Am)

;68: 669-74

Colemann D A, Blair W F, Shurr D. Resection of the

radial head for fractures of the radial head. J Bone Joint

Surg(Am) 1987; 69: 385-92

Esser R D, Davis S, Taavao T. Fractures of the radial

head treated by internal fixation: Late results in 26 cases.

J Orthop Trauma 1995; 9: 318-23

Herbertsson P, Josefsson P O, Hasserius R,

BesjakovJ, Nyqvist F, Karlsson M K. Fractures of the

radial head treated with radial head excision. J Bone

Joint Surg (Am)2004; 86 (9): 1925-30

Pesudo JV, Aracil J, Barcelo M. Leverage method in

displaced fractures of the radial neck in children. Clin

Orthop1982;169:215-8

Mason ML. Some observations on fractures of the head

of the radius with a review of hundred cases. Br J Surg

;42:123-32

Ianuzzi NP, Leopold SS. In Brief. The Mason classification

of radial head fractures. Clin Orthop Rel Res 2012;

:1799-1802

Ring D. Open reduction and internal fixation of fractures

of the radial head. Hand Clin 2004;20:415-27

King GJ. Management of comminuted radial head

fractures with replacement arthroplasty. Hand Clin 2004;

:429-41

Iftimie PP, Calmet Garcia J, de Loyola Garcia Forcada

I, Gonzalez Pedrouzo JE, Gine Goma J. Resection arthroplasty

for radial head fractures: Long term followup.

J Shoulder Elbow Surg 2011;20:45-50

Duckworth AD, Clement ND, Aitken SA, Ring D, Mc

Queen MM. Essex-Lopresti lesion associated with an

impacted radial neck fracture: Interest of ulnar shortening

in the secondary management of sequelae. J Shoulder

Elbow Surg 2011;20:e19-24

Kaas L, Van Riet RP, Vroemen JP, Eygendaal D. The

epidemiology of radial head fractures. J Shoulder Elbow

Surg 2010;19:520-3

Zwingmann J, Welzel M, Dovi-Akue D, Schmal H,

Südkamp NP, Strohm PC. Clinical results after different

operative treatment methods of radial head and neck

fractures: a systematic review and meta-analysis of

clinical outcome. Injury 2013;44(11):1540-50

Ruchelsman DE, Christoforou D, Jupiter JB. Fractures

of the radial head and neck. J Bone Joint Surg (Am)

;95(5):469-78

Hong-J R, Cun-Yi F, Jun-Jian L, Bing-fang ZA. Comparative

study of internal fixation and prosthesis replacement

for radial head fractures of Mason type III.International

Orthopaedics. 2009; 33,(1) : 249-53

Furry, Kim L, Clink S, Carlton M. Comminuted Fractures

of the Radial Head: Arthroplasty versus Internal Fixation.

Clinical Orthopaedics & Related Research. 1998; 353(1):

-52

Paolo RR, Michele FS, Amedeo B, Giorgio P. Arthroscopic

treatment of fractures of the radial head. Arthroscopy:

The Journal of Arthroscopic & Related Surgery.

;22(2): 233.e1-233

Jupiter JB, Lipton H. The operative treatment of intraarticular

fractures of the distal radius. Clinical orthopaedics

and related research. 1993 ;292:48-61

Pearce MS, Gallannaugh SC. Mason type II radial head

fractures fixed with Herbert bone screws. Journal of the

Royal Society of Medicine. 1996 Jun 1;89(6):340-4

Hanns-Joachim H, Axel P, Hans US, Michael N, Jürgen

L, Klaus ER.Radial head fractures.Biodegradable

implants versus standard metal fixation for displaced

radial head fractures. A prospective, randomized, multicenter

study.Journal of Shoulder and Elbow Surgery. 20

;15( 4): 479-85

Anneluuk LC. Linden H, Quinten F , Job ND, David

R , Peter K.Open Reduction and Internal Fixation Compared

With Excision for Unstable Displaced Fractures

of the Radial Head. The Journal of Hand Surgery. 2007;

( 5): 630-6

Masayoshi I, Kazuhiro S, Chonte K, Tomonori T, Yoshinori

Oka. Comminuted Fractures of the Radial Head:

Comparison of Resection and Internal Fixation. J Bone

Joint Surg Am. 2006; 88 (1 suppl 1): 11 -23

Ward WG, Nunley JA. Concomitant fractures of the

capitellum and radial head. Journal of orthopaedic trauma.

Jan 1;2(2):110-6.

David R, Jaime Q, Jesse B J.Open Reduction and Internal

Fixation of Fractures of the Radial Head. J Bone Joint

Surg Am, 2002; 84 (10): 1811-5

Ufuk N, Baris K, Arel G, Seref A, Osman G.Open

Reduction and Internal Fixation of Mason Type III

Radial Head Fractures With and Without an Associated

Elbow Dislocation. The Journal of Hand Surgery. 2007;

(10): 1560-8

Longo UG, Franceschi F, Loppini M, Maffuli N, DenaroV.

Rating system for the evaluation of the elbow.

British Medical Bulletin 2008;87;131-61

Jeffrey MP, George SA, Kenneth JF, Graham JW. Radial

Head Fractures-An Update. The Journal of Hand Surgery,

; 34(3): 557-65

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Published

2016-06-06

How to Cite

Mamji, F. ., Sahito, B. ., Siddiqui, A. A. ., Tariq, S. M. ., Kumar, D. ., & Zaidi, S. I. H. . (2016). Radial Head Fracture Mason Type III and IV Treated with K-wire Fixation. Journal of Bahria University Medical and Dental College, 6(2), 92–96. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/172

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