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Clin Shoulder Elbow > Volume 13(2); 2010 > Article
Clinics in Shoulder and Elbow 2010;13(2):230-236.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.230    Published online December 31, 2010.
Percutaneous Mini-open Reduction for Mason II or III Radial Head and Neck Fracture
Jeong Gil Lee, Il Hyun Koh, Hyung Sik Kim, Yun Rak Choi, Sung Jae Kim, Ho Jung Kang
1Department of Orthopaedic Surgery, Yonsei University, College of Medicine, Seoul, Korea. kihro@paran.com
2Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
요골 두 및 경부 골절의 경피적 도수 정복술
이정길*·고일현·김형식·최윤락·김성재·강호정
연세대학교 의과대학 정형외과학교실, 한림대학교 강동성심병원 정형외과학교실
Abstract
PURPOSE
We wanted to evaluate the result of percutaneous, mini-open reduction for the treatment of Mason II or III radial head and neck fractures. MATERIALS AND METHODS: 13 patients (8 male, 5 female) with Mason II or III radial head and neck fractures were treated by 1 cm percutaneous mini-open reduction under fluoroscopy. The average age of our subjects was 29 years. Follow up duration was 18 months.
RESULTS
Union was noted in all cases. Mean radial neck angulation was decreased from 33.2 degrees to 7.8 degrees. The mean change in angulation between the immediate post-operative and last follow-up was 0.7 degrees. The mean range of motion at the elbow joint was at last follow up, 133.1 degrees in flexion, 7.3 degrees in extension, 80 degrees in pronation and 84.3 degrees in supination. Postoperatively, mean Mayo Elbow Performance Index, American Shoulder and Elbow Surgeons elbow score, and Disabilities of the Arm, Shoulder and Hand score were 96.2, 97 and 1.2. Temporary posterior interosseous nerve palsy (1 case) and minimal cubitus valgus deformity (1 case) were noted.
CONCLUSION
Selected Mason II or III radial head and neck fractures can be treated satisfactorily with percutaneous mini-open reduction.
Key Words: Radial head and neck fracture; Percutaneous closed reduction
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