Extracorporeal Reconstruction of the Radial Head

Kow Ren Yi; Zaharul Azri Mustapha Zakaria; Ruben Jaya Kumar; Low Chooi Leng; Khairul Nizam Siron Baharom

doi:10.51200/bjms.v15i3.2399

Extracorporeal Reconstruction of the Radial Head

Authors

Kow Ren Yi 1 Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia 2 Department of Orthopaedic, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
Zaharul Azri Mustapha Zakaria Department of Orthopaedic Surgery, Hospital Kuala Lipis, Kuala Lipis, Pahang, Malaysia
Ruben Jaya Kumar Department of Orthopaedic Surgery, Hospital Kuala Lipis, Kuala Lipis, Pahang, Malaysia
Low Chooi Leng Department of Radiology, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia
Khairul Nizam Siron Baharom 2 Department of Orthopaedic, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Pahang, Malaysia

DOI:

https://doi.org/10.51200/bjms.v15i3.2399

Keywords:

radial head , fracture , reconstruction , extracorporeal , surgery

Abstract

Radial head fractures are common in adults. The radial head acts as an important stabilizer of the radius, especially during the forearm pronation and supination. Surgical treatment of Mason type III fracture of the radial head includes radial head excision, radial head replacement and open reduction and internal fixation. For patients treated with radial head excision, the radius might migrate proximally, causing complications such as chronic pain at the wrist, forearm, and elbow. On the other hand, radial head arthroplasty is associated with a high revision and removal rate. Hence, open
reduction and internal fixation are preferred when feasible. This is technically demanding due to the severe displacement of the radial head fragments and limited surgical space. Mr K, a 30-year-old manual worker sustained a closed right radial head fracture Mason type III after an alleged fall. The radial head was displaced anteriorly. Intra-operatively, the radial headpieces were retrieved and were reconstructed extracorporeal and fixed with a miniplate. The patient subsequently recovered with good function. The new technique of extracorporeal reconstruction of the radial head offers a viable option to the surgeon with similar, or even better, outcomes in terms of elbow function.

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7_BJMS_Vol.15 (3) SEPT 2021

Published

2021-09-30

How to Cite

Kow Ren Yi, Zaharul Azri Mustapha Zakaria, Ruben Jaya Kumar, Low Chooi Leng, & Khairul Nizam Siron Baharom. (2021). Extracorporeal Reconstruction of the Radial Head. Borneo Journal of Medical Sciences (BJMS), 15(3), 71 –. https://doi.org/10.51200/bjms.v15i3.2399

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Issue

Vol. 15 No. 3 (2021): BORNEO JOURNAL OF MEDICAL SCIENCES VOLUME 15, ISSUE 3, SEPTEMBER 2021

Section

Case report

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Borneo Journal of Medical Sciences

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