Arthroscopic Assisted Bioabsorbable Screw Fixation for Radial Head Fractures: A Report of Two Cases

Bong Ju Park; Ki Yong An; Yong Suk Choi

doi:10.12671/jkfs.2017.30.1.35

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Park, An, and Choi: Arthroscopic Assisted Bioabsorbable Screw Fixation for Radial Head Fractures: A Report of Two Cases

Case Report

Journal of the Korean Fracture Society 2017; 30(1): 35-39.

Published online: 20 January 2017

DOI: https://doi.org/10.12671/jkfs.2017.30.1.35

Arthroscopic Assisted Bioabsorbable Screw Fixation for Radial Head Fractures: A Report of Two Cases

Bong Ju Park, M.D., Ki Yong An, M.D., Yong Suk Choi, M.D.

Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.

Correspondence to: Ki Yong An, M.D. Department of Orthopedic Surgery, Gwangju Veterans Hospital, 99 Cheomdanwolbong-ro, Gwangsangu, Gwangju 62284, Korea. Tel: +82-62-602-6162, Fax: +82-62-602-6164, girong@naver.com

Received 17 October 2016 Revised 9 December 2016 Accepted 6 January 2017

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Most radial head fractures occur as the result of low-energy mechanisms, such as a trip or fall on the outstretched hand. These fractures typically occur when an axial load is applied to the forearm, causing the radial head to hit the capitellum of the humerus. Good results are shown with nonsurgical treatments for Mason type 2 fractures. However, if there is a limitation of elbow joint exercise or displacement of more than 2 mm, an operative treatment should be considered. We treated two patients with arthroscopic assisted bioabsorbable screw (K-MET™; U&I Corporation, Uijeongbu, Korea) fixation for radial head fractures to prevent complications of open reduction and minimize radiation exposure.

Keywords: Fracture fixation, Internal, Radius, Cartilage, Arthroscopic reduction, Bioabsorbable screws

Figures and Tables

Fig. 1

A 30-year-old male with Mason type 2 radial head fracture. Anteroposterior radiograph (A) and saggital computed tomography (CT) (B), and a 3-dimensional CT (C).

Fig. 2

Right elbow arthroscopic photos. (A) Radial head fracture with articular step off. (B, C) The radial head was reduced with manipulation by the arthroscopic probe and micro curette.

Fig. 3

Immediately postoperative right elbow lateral X-ray.

Fig. 4

A 42-year-old male with Mason type 2 radial head fracture. Lateral radiograph (A) and 3-dimensional computed tomography (B).

Fig. 5

The radial head reduced with manipulation by the arthroscopic probe and micro curette.

Fig. 6

Immediately postoperative left elbow lateral X-ray.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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