TY - JOUR
T1 - Operative vs. nonoperative treatment for Mason type 2 radial head fractures: a randomized controlled trial
AU - Mulders, Marjolein A. M.
AU - Schep, Niels W. L.
AU - de Muinck Keizer, Robert-Jan O.
AU - Kodde, Izaäk F.
AU - Hoogendoorn, Jochem M.
AU - Goslings, J. Carel
AU - Eygendaal, Denise
N1 - Funding Information: Denise Eygendaal has done consulting work for Lima Corporates, has given paid presentations for the AO Foundation and Stryker , and received institutional support from Matthys, Zimmer- Biomet , and Stryker . In addition, a relative of Denise Eygendaal is a stakeholder for ITEC medical. All of the above-mentioned is not related to the subject of this work. Funding Information: This work was supported by an AO Foundation Start up Grant (grant number S-13-106D). Publisher Copyright: © 2021 The Authors
PY - 2021/7/1
Y1 - 2021/7/1
N2 - Background: The optimal treatment of isolated displaced partial articular radial head fractures remains controversial. The aim of this randomized controlled trial was to compare the functional outcome of operative treatment with nonoperative treatment in adults with an isolated Mason type 2 radial head fractures. Methods: In this multicenter randomized controlled trial, patients from 18 years of age with an isolated partial articular fracture of the radial head were randomly assigned to operative treatment by means of open reduction and screw fixation or nonoperative treatment with a pressure bandage. The primary outcome was function assessed with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Questionnaires and clinical follow-up was conducted at admission and at 3, 6, and 12 months. Results: In total, 45 patients were randomized, 23 patients to open reduction and screw fixation and 22 patients to nonoperative treatment with a pressure bandage. At 3, 6, and 12 months, patients treated operatively had similar functional outcomes compared to patients treated nonoperatively (DASH score at 12 months: 0.0 [0.0-4.2] vs. 1.7 [0.0-8.5]; P =.076). Conclusions: Nonoperatively treated adults with an isolated Mason type 2 radial head fracture have similar functional results after 1 year compared with operatively treated patients. In addition, complication rates were low for both operative and nonoperative treatment.
AB - Background: The optimal treatment of isolated displaced partial articular radial head fractures remains controversial. The aim of this randomized controlled trial was to compare the functional outcome of operative treatment with nonoperative treatment in adults with an isolated Mason type 2 radial head fractures. Methods: In this multicenter randomized controlled trial, patients from 18 years of age with an isolated partial articular fracture of the radial head were randomly assigned to operative treatment by means of open reduction and screw fixation or nonoperative treatment with a pressure bandage. The primary outcome was function assessed with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Questionnaires and clinical follow-up was conducted at admission and at 3, 6, and 12 months. Results: In total, 45 patients were randomized, 23 patients to open reduction and screw fixation and 22 patients to nonoperative treatment with a pressure bandage. At 3, 6, and 12 months, patients treated operatively had similar functional outcomes compared to patients treated nonoperatively (DASH score at 12 months: 0.0 [0.0-4.2] vs. 1.7 [0.0-8.5]; P =.076). Conclusions: Nonoperatively treated adults with an isolated Mason type 2 radial head fracture have similar functional results after 1 year compared with operatively treated patients. In addition, complication rates were low for both operative and nonoperative treatment.
KW - DASH
KW - Level II
KW - Mason type 2
KW - Radial head
KW - Randomized Controlled Trial
KW - Treatment Study
KW - fracture
KW - function
KW - screw fixation
UR - http://www.scopus.com/inward/record.url?scp=85108194355&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jse.2021.02.025
DO - https://doi.org/10.1016/j.jse.2021.02.025
M3 - Article
C2 - 33753275
SN - 1058-2746
VL - 30
SP - 1670
EP - 1678
JO - Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]
JF - Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]
IS - 7
ER -