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Abstract Fractures of the radial head , which usually occur after a fall on the outstretched arm, account for 1.5% to 4% of all fractures and approximately 20% of all elbow fractures. There are many classification systems for such fractures. Mason classification has been traditionally used to characterize radial head fractures and it’s particularly useful for simple uncomplicated radial head fractures which were the subject of this study.The most appropriate treatment of Mason type II radial head fractures remains controversial. Recommended treatment has included rest and motion , resection, or open reduction and internal fixation. The radial head is recognized as an important stabilizer of the elbow and forearm articulations. Radial head resection is associated with delayed complications, including pain, elbow and distal radio ulnar joint instability, proximal radial translation, decreased strength, osteoarthrosis, and cubitus valgus. The aim of this study was planned to evaluate the mid term results of treatment of Mason type II radial head fracture by open reduction and screw fixation. The study included 15 cases of Mason type II radial head fracture presented to the Orthopedics Department of Tanta University Hospitals and treated by open reduction and screw fixation from from February 2012 until January 2015. There were six females and nine males. The average age was 29.66 years. Five patients (40%) had associated ligamentous injuries. All cases were operated through the postero lateral approach of Kocher. The average pre operative time lag was 2.5 days. ROM started in ten patients within the second week postoperative. Five patients with associated ligamentous injury started motion at the the 3rd week in a hinged ROM brace. All patients underwent detailed clinical follow up using Mayo elbow performance score (MEPS) . The shortest follow up period was one year, the longest was 18 months, with average 14.7 months. |