TREATMENT OF DISPLACED COMMINUTED FRACTUR ES OF THE RADIAL HEAD - IS RESECTION A THERAPEUTIC OPTION

The treatment of displaced comminuted fractures of the radial head typ e III of the Mason classification is still controversial. The restorat ion of anatomy including additional lesions with a stable fixation is a prequisite of early mobilisation. Removal of the radial head, in cas e of severe comminution, and complete separation of the fragments from the radial neck remain the exception. Insertion of a prosthesis as a spacer is only recommended if there is a remaining instability of the elbow after resection of the radial head. With this treatment modality we have 22/29 good to very good results evaluated by the Morrey score after a follow-up period of 8 years (4-11 years).