Management Of Farcture Separation Upper Radial Physis

Abstract

Results after open reduction of radial head fractures are less favorable than those after closed reduction. However, fractures requiring open reduction usually are the result of a more severe injury. Closed reductions with angulations of up to 45 degrees produce clinical results as good as those with a more anatomic reduction after operation. The surgeon should warn the parents of the likelihood of residual loss of motion after open reduction. Whenever possible, internal fixation should be avoided.