Results of radial head fractures treated with surgical fixation

Abstract

Purpose: Our study aims to report the functional outcomes of the patients with radial head fractures treated using surgical technique and benefits of surgery over conservative management. Materials and Methods: 20 Patients were operated at a mean age of 45.3 years and patients were reviewed at a follow up on 3 weeks, 1 month, 3 months, 6 months. Functional outcome assessed using DASH score, Ballottement test for DRUJ instability, Neurological assessment using test for Posterior Interosseous Nerve Palsy. Supination and pronation measured clinically and compared to normal side. Results: The mean preoperative DASH score was 80.5 which reduced to 25 at final review Supination and pronation possible to maximum range at final review. No patient presented with ballottement test positive and PIN involvement. Conclusion: Early fixation of radial head fractures using Kocher’s approach to dissect and fix radial head fractures with Minimal chances for injury to Posterior interosseous nerve, early mobilization gives good functional outcomes, there is no DRUJ instability, there is no limitation of durability as we fix the radial head instead of replacing.