title: A comparison of the open reduction-internal fixation and resection arthroplasty techniques in treatment of Mason Type 3 radial head fractures.
abstract: OBJECTIVE
  The aim of this study was to retrospectively compare a series of patients surgically treated with ORIF or early resection arthroplasty due to isolated comminuted radial head fractures.
  
  
  METHODS
  Between the years 2009 and 2013, 34 patients with isolated comminuted fractures of the radial head (Mason Type 3) had been operated (ORIF in 19 patients, resection arthroplasty in 15 patients). The mean age of the patients in the ORIF group was 38.5 years and 54 years in the resection group. The carrying angle (CA) and ulnar variance were measured bilaterally, and radiographs were reviewed for degenerative elbow arthritis. The Mayo elbow performance score, Turkish version of the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH-T) and visual analog scale (VAS) were used to evaluate the clinical results.
  
  
  RESULTS
  The mean follow-up period in the ORIF group was 40.2 months and 44.4 months in the resection group. In the ORIF group, 11 patients were clinically rated excellent, six good, and two fair. In the resection group, seven patients had excellent, five had good, and two had fair scores. We did not find a statistically significant difference between the ORIF and resection groups regarding the clinical and radiological outcomes.
  
  
  CONCLUSIONS
  With these short-term results, resection arthroplasty may be considered an effective method in the treatment of isolated comminuted radial head fractures, as it is less technically demanding and it also allows for early postoperative motion. However, the patients should be evaluated in detail, regarding ligamentous injuries prior to resection arthroplasty.
  
  
  METHODS
  Level III, Therapeutic study.
authors.affiliation: Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey. Electronic address: yemreakman@gmail.com.
authors.forename: Yunus Emre
authors.initials: YE
authors.lastname: Akman
authors.affiliation: Istanbul Education and Research Hospital, Istanbul, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Sukur
authors.affiliation: Istanbul Education and Research Hospital, Istanbul, Turkey.
authors.forename: Esra
authors.initials: E
authors.lastname: Circi
authors.affiliation: Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
authors.forename: Osman Nuri
authors.initials: ON
authors.lastname: Ozyalvac
authors.affiliation: Fethiye Ozel Letoon Hospital, Muğla, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Ozyer
authors.affiliation: Istanbul Education and Research Hospital, Istanbul, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ozturkmen
mesh_terms: D000328:Adult; D001178:Arthroplasty / Q000379:methods; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011859:Radiography; D011885:Radius Fractures / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Comminuted; Isolated; Open reduction-internal fixation; Radial head fracture; Resection arthroplasty