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Operative Plate Fixation Versus Replacement for Mason Type III Fracture of Radial Head

Conditions
Radial Head Fracture
Interventions
Procedure: plate fixation
Procedure: replacement
Registration Number
NCT03364595
Lead Sponsor
Peking University People's Hospital
Brief Summary

To compare the effect of Operative Plate Fixation Versus Replacement for Mason Type III Fracture of Radial Head

Detailed Description

From April 2015 to October 2016, patients with comminuted radial head fractures diagnosed as Mason type III are retrospectively included in this study, they were treated with either operative plate or radial head replacement. All the patients are regularly followed up in clinic. Then we will compare the union rate and clinical functional outcome(Mayo score) between the 2 groups at 1 year after surgery.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria

Men or women aged 18 to 65 years of age with Mason Type III radial head fracture are confirmed by radiograph within 1 month post injury Provision of informed consent

Exclusion Criteria

Pathological fractures Non-displaced (cortical contact) fractures Open fractures Presence of vascular or nerve injury Fractures more than 1 month post-injury Limited life expectancy due to significant medical co-morbidity Medical contraindication to surgery Inability to comply with rehabilitation or form completion Likely problems, in the judgement of the investigators, with maintaining follow-up (i.e. patients with no fixed address, patients not mentally competent to give consent, etc.)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Plate Fixationplate fixationThe operating surgeon will determine the positioning of the patient for surgery. ORIF of the radial head fracture will be carried out
ReplacementreplacementThe operating surgeon will determine the positioning of the patient for surgery. During the surgery, they take out the the comminuted radial head and proceed replacement using artificial.
Primary Outcome Measures
NameTimeMethod
Union rate1 year after surgery

Union rate of the fracture from X-ray

Secondary Outcome Measures
NameTimeMethod
Functional score1 year after surgery

Mayo score of injury elbow

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