Osteosíntesis Estable en Fracturas Conminutas de la Cúpula Radial

RESUMO

The goal of treatment of fractures of the radial head is full recovery of function with preservation of the elbow flexion and extension as well as pronation and supination of the forearm. Considerable confusion, however, continues to exist on how best to treat this type of fractures and that incluides Type of classification. Type of treatment 1. Conservative there is no agreement concerning the period of movilization, should it be 1 week, 10 days, 3 weeks? 2.Operative Parcial or total excision? head substitution? Timing of surgery inmediate, delay? Long-term functional results have not been satisfactory in a considerable number of patients using these convetional techniques. Residual pain, and post-traumatic arthritis are not infrequent. Modern operative treatment of major intra-articular fractures according to the AO/ASIF methods and techniques have dramatically improved the overall results and we feel that these principles are perfectly valid in small joints like the radial head. Excellent preliminary results in 5 selected cases are presented and discussed