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Controversies Surrounding the Management of the Isolated Type-II Radial-Head Fracture

Martin, Dennis P., BS1,2; Wilt, Zachary T., BS1; Cantlon, Matthew B., MD3; Wang, Mark L., MD, PhD2,a

doi: 10.2106/JBJS.RVW.17.00010
Review Article
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Disclosures

  • * The ideal management of the isolated Mason type-II radial-head fracture is controversial, with studies supporting both nonoperative and operative management.
  • * Inherent controversy remains in the precise definition of the Mason type-II injury and the degree of displacement considered acceptable for nonoperative treatment.
  • * The limitations of current studies include their retrospective nature, lack of adequate controls, insufficient power, uncertain pre-injury functional scores, heterogeneous grouping of radial-head fractures, and variability in fixation techniques.
  • * The design of future comparative studies may consider a suitably powered and controlled prospective study, utilizing a consistent fixation technique, performed at a high-volume center of excellence or at multiple sites.
  • * The impact of patient factors on clinical outcomes warrants further exploration, and future research may consider focusing on potential approaches to modifiable risk factors.

1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania

2Department of Orthopedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania

3Hand and Upper Extremity Division, Orthopaedic and Neurosurgery Specialists, Greenwich, Connecticut

aE-mail address for M.L. Wang: mark.wang@rothmaninstitute.com

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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