DOI: 10.36347/sasjs.2020.v06i05.003

Pages: 225-227

Objectives: To study the epidemiological, anatomopathological, diagnostic, therapeutic and evolutionary aspects of patients with a radial head fracture and compare our results with those of the literature. Introduction: Radial head fractures are articular fractures involving the head and/or neck of the radius; they are common in young persons. These fractures pose diagnostic and therapeutic problems. Osteosynthesis of the radial head allows early post-operative rehabilitation. If osteosynthesis is not possible, radial head prosthesis is discussed. Materials and methods: Our series includes 10 Men and six Women with an average age of 41 years, collected over a period of five years from 2014 to 2019 in the department of Orthopaedic Surgery and Traumatology II of the Mohamed V Military Hospital of Rabat. Most of the patients were victims of falls or road accidents. Type II fractures were the most common in 50% of cases. Seven patients had associated lesions of the homolateral upper limb. Herbert's screw osteosynthesis was used in 87.5% of our patients. Arthroplastic resection was performed in two patients. No radial head prosthesis was performed in our series. The principle of early mobilization was respected for all our patients. Results: The average decline in our series was 13 months; the evaluation of the results was based on the MAYO CLINIC score. Functional results were excellent in 37.5% of cases, good in 37.5% of cases, average in 25% of cases. Complications found were: infection in a patient, elbow stiffness in a patient and algodystrophy in a patient. Conclusion: Radial head fractures are quite common. Most are the result of functional treatment or stable direct osteosynthesis. The radial head prosthesis fits perfectly into the therapeutic strategy for multifragmentary radial head fractures that are not accessible to reliable osteosynthesis.