Radial Head—Resect, Fix, or Replace

Management of radial head fractures has evolved over the years, as have the techniques and implants used to treat them. However, no standardized treatment protocols exist because of the complexity with which radial head fractures may present. They range from stable, nondisplaced fractures to displaced, comminuted fractures with associated ligamentous, and osseous defects. Management of the complex fractures can be challenging. Historically, radial head excision was recommended for comminuted fractures, but with increased awareness of elbow and forearm biomechanics, the treatment choice for complex radial head injuries has evolved to internal fixation or replacement. The Mason classification may be used to guide treatment, however fracture characteristics and associated injuries must also be considered. Regardless of the treatment option, early range of motion and restoration of elbow anatomy with good surgical technique are imperative.

Keywords: radial head replacement, open reduction internal fixation