Despite advances in surgical techniques, fractures of the radial head are challenging to manage. Most radial head fractures can be managed nonsurgically, with emphasis on early motion to achieve good results. Treatment of more complex radial head fractures, however, especially those associated with elbow instability, remains controversial. The choice for such injury is between open reduction and internal fixation and arthroplasty. Modern implants and techniques have led to improvements in both of these technically demanding procedures. With proper care and understanding of the mechanism of elbow function, better long-term results can be achieved. The current literature suggests that the Mason classification guides choice of the best treatment modality to achieve optimal long-term function. Fracture complexity also should be used as a guide when selecting treatment, and proper surgical technique is critical for success.

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
100% Article relates to my practice (24/24)
0% Article does not relate to my practice (0/24)
0% Undecided (0/24)

Will this article lead to more cost-effective healthcare?

79% Yes (19/24)
16% No (4/24)
4% Undecided (1/24)

Was this article biased? (commercial or personal)

0% Yes (0/24)
95% No (23/24)
4% Undecided (1/24)

What level of evidence do you think this article is?

0% Level 1 (0/24)
12% Level 2 (3/24)
41% Level 3 (10/24)
29% Level 4 (7/24)
16% Level 5 (4/24)