Use of Dura retractor and disc holder for radial head excision in cases of isolated radial head fractures through Mini-open technique

Abstract

Introduction: Radial head fractures are quite common with incidence 1.5-4% of all adult fractures. One of the treatment options for these fractures is Radial head excision. To overcome the complications associated with the open lateral approach, we suggested Mini-open approach which gives good functional outcomes.Aim and Objectives: The aim is to evaluate the functional outcomes of radial head excision done using mini open technique done in a case of isolated radial head fracture using Dura retractor and disc holder. Material and Methods: We did an observational study comprising 30 previously operated patients between age 18- 60 years with Mason type II/III radial head fractures at Seth GSMC and KEM Hospital, Mumbai. The patients were assessed during their one time OPD Visit after a period of 6 months-2 years after the surgery to check the functional outcomes of radial head excision using Mini open technique.Results: Out of 30 patients, 25 patients (83.3 %) had an excellent functional outcome as per MEPS score at an average of 8.90 months follow-up post-operatively.Conclusion: Our study shows that short-term results of radial head excision are good to excellent as per the MEPS score.