Mannan Muhammad, Hamid Muhammad A, Shrivastava Nayan, Akbar Rizwan, Sarwar Abdul Rehman
Trauma and Orthopedics, Ghurki Trust and Teaching Hospital, Lahore, PAK.
Trauma and Orthopedics, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, PAK.
Cureus. 2024 Nov 29;16(11):e74801. doi: 10.7759/cureus.74801. eCollection 2024 Nov.
Radial head fractures (RHFs) account for a considerable injury. This study focuses on the functional results of people who had open reduction and internal fixation (ORIF).
To evaluate the functional outcomes of Mason type II and III RHFs treated with ORIF using the Mayo Elbow Performance Score (MEPS) over a 12-month postoperative period.
This retrospective study was conducted in the Orthopedic Surgery Department at Birmingham Heartlands Hospital. The research included 44 patients diagnosed with RHFs. Data regarding the patient's medical history, radiological imaging, and surgical interventions were collected from their medical records. The MEPS was utilized to assess functional outcomes at baseline and at six and 12 months postoperatively.
The mean age was 42.55 ± 10.24 years. Of the total 44 patients, there were 32 (72.7%) male and 12 (27.3%) female patients. The cause of fracture was fall from height in seven (15.9%) patients, road traffic accidents in 34 (77.3%), and other in three (6.8%) patients. MEPS was measured at baseline, six months, and 12 months. There were 15 (55.6%) in type II and 10 (58.8%) in type III with excellent outcome, 10 (37%) in type II and six (35.3%) in type III with good outcome, and two (7.4%) in type II and one (5.9%) in type III with fair outcome. Conclusion: Overall results from ORIF for RHF are favorable. After a year, the functional outcomes of patients with isolated Mason type III RHF are comparable to those of type II patients.
桡骨头骨折（RHFs）是一种较为常见的损伤。本研究聚焦于接受切开复位内固定术（ORIF）患者的功能恢复情况。
采用梅奥肘关节功能评分（MEPS）评估切开复位内固定术治疗梅森II型和III型桡骨头骨折术后12个月的功能结局。
本回顾性研究在伯明翰心脏地带医院骨科进行。研究纳入44例诊断为桡骨头骨折的患者。从他们的病历中收集患者病史、放射影像学和手术干预等数据。采用MEPS在基线、术后6个月和12个月时评估功能结局。
平均年龄为42.55±10.24岁。44例患者中，男性32例（72.7%），女性12例（27.3%）。骨折原因：7例（15.9%）患者因高处坠落，34例（77.3%）患者因道路交通事故，3例（6.8%）患者因其他原因。在基线、6个月和12个月时测量MEPS。II型骨折中15例（55.6%）结局为优，10例（37%）结局为良，2例（7.4%）结局为中；III型骨折中10例（58.8%）结局为优，6例（35.3%）结局为良，1例（5.9%）结局为中。结论：切开复位内固定术治疗桡骨头骨折的总体效果良好。一年后，单纯梅森III型桡骨头骨折患者的功能结局与II型患者相当。
