The Analysis Of Clinical Efficacy Of Different Treatment Methods For Radial Head Fracture Of The Adult

Objective:In this study,in order to provide basis decision-making for the clinical treatment of radial head fractures,I based on the various types of radial head fractures of different treatment methods of my department,and through retrospective analysis and evaluate their therapeutic effects,exploring the radial head treatment strategies.Clinical data and methods:The clinical data of patients with fracture of the radial head were collected from May 2012 to May 2017 in the medical record information of the first affiliated hospital of guang xi medical university.After screening inclusion criteria and exclusion criteria,a total of 71 patients conform to the standard.Among them Mason I type 6 cases,Mason II type 32cases,Mason III type 33 cases.Group was according to the classification of radial head fracture and the treatment of patients,and through the telephone,Internet(WeChat,QQ,E-mail,etc.)outpatient service to finish the follow-up.According to the Mayo elbow performance score(MEPS),Broberg and Morrey elbow function criteria respectively,evaluating the result of the last follow-up.Results:65 patients were finishing the follow-up,6 cases were lost,all the patients were achieving the clinical healing,and all the patients were followed up from 10 months to 70 months,with an average of 43.6±1.12 months.(1)The average scores of extension-flexion arc and pronation-supination arc of the injured side of each group were lower than the uninjured side.The average scores of extension-flexion arc and pronation-supination arc of the injured sides of Mason II type were higher than the ORIF group(P>0.05).The average scores of extension-flexion arc and pronation-supination arc of the injured side of Mason III type:RHR>ORIF>RHA(P>0.05).(2)The average scores of MEPS,Brobery and Morrey of the conservative group of Mason II type were higher than the ORIF group(P>0.05).The optimal rate of the conservative group was equal to the ORIF(P>0.05);There was no significant difference in gender,age and left or right of the group(P>0.05).(3)There was no statistically significant difference between the three groups of Mason III type:THA,RHR and ORIF(p>0.05)and the efficacy of the three treatment groups was comparable.All the accompanying injuries were repaired during the operation.(4)The average scores of MEPS,Brobery and Morrey of the Mason III type of ORIF:>RHR>THA(p>0.05).The optimal rate of the ORIF>RHR>RHA(p>0.05).There were no statistically significant difference in the gender,age,left and right of the patients in this group(p>0.05).Conclusion:1.The treatment of fracture of the radial head should be taken into consideration of the classification of fracture,related injuries,the age of the patient and the quality of life.2.Conservative treatment of Mason I type can achieve good results.3.Conservative treatment for stable,simple,and unrestricted Mason II fractures can achieve good results;For patients who were unstable,radial head fracture displacement>2mm,fractures involving more than_?of the joint surface,and with limited elbow movement were recommended to adopt ORIF treatment,which can also achieve good results.4.The ORIF could achieve good results for the reconstructed Mason III type fractures;For fractures that cannot be reconstructed,RHA is preferred for treatment.Radial head resection is considered only if the patient has no ligament damage and economic conditions are not allowed.