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Original Article



Which treatment is more preferable in isolated type 2 radial head fractures: conservative or operative?

Hakan Ertem, Mesut Tahta, Tahir Öztürk, Eyüp Çağatay Zengin.




Abstract

Objective: The purpose of this study is to compare the results of conservative and surgical treatment of patients with isolated type 2 radial head fractures without additional injuries.

Materials and method: Between 2014 and 2019 thirty patients with isolated type 2 radial head fractures without additional injuries were included in the study. 16 of these patients were treated surgically and 14 patients were treated conservatively. Patients were evaluated functionally and radiologically retrospectively in the last control.

Results: The mean age of the surgically treated group was 44.5 years. The mean age of the conservatively treated group was found to be 39.2 years. The mean follow-up time was 48.5 months in the surgical group and 38.2 months in the conservatively-treated group. The displacement was 3.75 mm in the surgical group, while it was 3 mm in the conservatively-treated group. Broberg-Morrey score of the surgical group was 83.75, and it was 82.7 In the conservatively treated group. Q-DASH score, the surgical group scored an average of 12,1 points, while the conservatively-treated group was 10.7 points. The mean VAS score was 1.75 in the surgical group. In the conservative group, the mean result was 2.5.

Conclusion: There was no radiological and functional difference between the two treatment methods. We think that comparative randomized prospective studies have been necessitated based on our results.


Key words: Conservative, Operative, Radial head

Key words: Conservative, Operative, Radial head






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