Struijs P A A, Smit G, Steller E Ph
Department of General Surgery and traumatology, St. Lucas Andreas Hospital, Frederik Hendrikplantsoen 74-2, 1052 XW Amsterdam, The Netherlands.
Arch Orthop Trauma Surg. 2007 Feb;127(2):125-30. doi: 10.1007/s00402-006-0240-4. Epub 2006 Oct 26.
Radial head fractures are common elbow fractures. The Mason classification is used to describe the fracture. As of yet, there is no consensus on optimal treatment strategy for Mason II-IV fractures. The aim of this study was to compare the results of conservative treatment with different surgical strategies for radial head fractures.
Electronic databases from 1966 to 2004 were screened. Based on our inclusion criteria, 24 studies, describing 825 patients, were included.
For Mason type II fractures, residual pain was present in 42% of the conservatively treated of the patients compared to 32% of the surgically treated patients. Good/excellent results for Broberg score were 52 and 88%, respectively. For Mason type III and IV fractures, no conservatively treated patients were described.
There is insufficient evidence to be able to draw definitive conclusions on optimal treatment of type II-IV radial head fractures. Evidence is currently limited to a maximum level II evidence. There is great need for sufficiently powered randomized controlled trials.
桡骨头骨折是常见的肘部骨折。梅森分类法用于描述此类骨折。截至目前，对于梅森II-IV型骨折的最佳治疗策略尚无共识。本研究的目的是比较桡骨头骨折保守治疗与不同手术策略的结果。
对1966年至2004年的电子数据库进行筛选。根据纳入标准，纳入了24项描述825例患者的研究。
对于梅森II型骨折，保守治疗的患者中42%存在残留疼痛，而手术治疗的患者中这一比例为32%。布罗伯格评分的良好/优秀结果分别为52%和88%。对于梅森III型和IV型骨折，未描述保守治疗的患者。
没有足够的证据能够就II-IV型桡骨头骨折的最佳治疗得出明确结论。目前证据仅限于最高II级证据。迫切需要开展足够有力的随机对照试验。
