Does the fracture of radial capitulum need surgery? How to fix radial capitulum fracture?

1 Does the fracture of radial head need surgery? There are four types of radial head fractures. The first one is light, with fracture line but light displacement; The second is a fracture with separation and displacement; The third is comminuted fracture; The fourth type is fracture with dislocation of elbow joint. If the inclination angle of articular surface of radial capitulum fracture is less than 30 and the articular surface collapse is less than 1/3, this fracture can be treated conservatively. Only suspension, braking or manual reduction of the forearm can be selected for squeezing reduction. If the inclination of the articular surface is greater than 30 and there is obvious collapse, surgery is needed at this time.

2 How to fix radial capitulum fracture can be divided into three types. Surgical fixation can be considered in the first and second categories. In the past, the fixation method was kirschner wire and screw, but now there are micro screws and micro steel plates. Either way, this kind of internal fixation must give the radial capitulum a safe area, otherwise it will affect the pronation and supination function of the forearm in the future. For fractures of type Ⅲ or Ⅳ or above, it is suggested to replace radial capitulum with artificial radial capitulum.

How long has the radial head fracture been fixed? There are four types of radial head fractures, I, II, III and IV, which are more serious in turn. Type ⅰ generally has no displacement and the articular surface is relatively flat. At this time, you can choose conservative treatment. Protective treatment should be plaster external fixation or simple suspension. Generally speaking, the radial head fracture is fixed for about three weeks. Fracture can heal, and then appropriate activities, the general problem is not big.

4 can the fracture of radial capitulum be disabled? Severe fracture of radial capitulum can be banned. According to Mason's classification, radial capitulum fractures can be divided into four types. Types I and II are relatively light, while types III and IV are relatively heavy. Generally, type I and II can be treated conservatively or surgically, with open reduction and internal fixation, then the fracture block is fixed and then slowly healed. This kind of treatment will generally have a good effect and will not leave sequelae, so say one or two.

If type III and IV bones are too severely compressed to be reduced or fixed, only artificial radial head replacement can be done. If you have surgery, you can be disabled. Therefore, whether the radial capitulum fracture can be fixed depends mainly on the fracture classification after injury, your treatment method and surgical method. Open reduction and internal fixation are basically not fixed, but they can be fixed if artificial radial head replacement is carried out.