The purpose of this study was to systematically review the current literature that assessed open reduction and internal fixation compare to radial head replacement to identify the best surgical treatment protocol for the management of Mason type III radial head fracture.Īll published clinical trials claiming to evaluate or cited elsewhere as being authoritative regarding the surgical treatment of radial head fractures were identified and evaluated. There are various surgical treatment options available, including open reduction and internal fixation or radial head arthroplasty. The complex, unstable, displaced, and multi-fragmentary fractures, also known as Mason type III fractures, remain one of the most challenging fractures to treat, especially if associated with other elbow injuries. However, no standardized treatment protocol exists because of the complexity with which these fractures may present. Management has evolved over the past few decades as have the techniques and implants used to treat them. PMID 33687067.Fractures of the radial head are common and account for one-third of elbow fractures. The Cochrane Database of Systematic Reviews. 'Internal fixation implants for intracapsular hip fractures in older adults'. ^ Lewis SR, Macey R, Eardley WG, Dixon JR, Cook J, Griffin XL (March 2021).'Foreword: concepts of minimally invasive plate osteosynthesis'. 'Closed reduction and internal fixation of displaced unstable lateral condylar fractures of the humerus in children'. ^ Song KS, Kang CH, Min BW, Bae KC, Cho CH, Lee JH (December 2008).

^ General Principles of Internal Fixation at eMedicine.A Revolution in Fracture Care, 1950s-1990s. The treatment of fractures of the distal third of the tibia has evolved with the development of improved imaging and surgical techniques. Various techniques of minimally invasive surgery for internal fixation of bones have been reported. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation is recommended. Implant that has been used for fixation of a broken wristĬlosed Reduction Internal Fixation (CRIF) is reduction without any open surgery, followed by internal fixation. Risks and complications may include bacterial colonization of the bone, infection, stiffness and loss of range of motion, non-union, mal-union, damage to the muscles, nerve damage and palsy, arthritis, tendonitis, chronic pain associated with plates, screws, and pins, compartment syndrome, deformity, audible popping and snapping, and possible future surgeries to remove the hardware. ORIF techniques often are used in cases involving serious fractures such as comminuted or displaced fractures or, in cases where the bone otherwise would not heal correctly with casting or splinting alone. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. Internal fixation refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate healing. Open reduction refers to open surgery to set bones, as is necessary for some fractures.

Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. ( June 2015) ( Learn how and when to remove this template message) Unsourced material may be challenged and removed. Please help improve this section by adding citations to reliable sources.

Open reduction external fixation