Is cross-screw fixation superior to plate for radial neck fractures?

Bone Joint J. 2015 Jun;97-B(6):830-5. doi: 10.1302/0301-620X.97B6.34868.

Abstract

This study compares the outcomes of two methods of fixation of displaced fractures of the radial neck. The 58 patients with a mean age of 38.5 years (18 to 56), were treated in a non randomised study with screws (n = 29) or a plate and screws (n = 29) according to the surgeon's preference. The patients were reviewed at one year. Radiographs and functional evaluations were carried out up to one year post-operatively, using the Broberg and Morrey functional evaluation score, range of movement, and assessment of complications. The mean functional scores did not differ significantly between groups (90 (55 to 100) vs 84; 50 to 100, p = 0.09), but the mean range of forearm rotation in screw group was significantly better than in the plate group (152°; 110° to 170° vs 134°; 80° to 170°, p = 0.001). Although not statistically significant, the screw group had a lower incidence of heterotopic ossification than the plate group (n = 1) than the plated group (n = 3) and the pathology was graded as less severe.

Keywords: Radial neck fracture; Internal fixation; Functional result; Heterotopic ossification.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Bone Plates
  • Bone Screws
  • Elbow Joint / physiopathology
  • Female
  • Forearm / physiopathology
  • Fracture Fixation, Internal / methods*
  • Humans
  • Male
  • Middle Aged
  • Ossification, Heterotopic / epidemiology
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / physiopathology
  • Radius Fractures / surgery*
  • Range of Motion, Articular / physiology
  • Retrospective Studies
  • Rotation
  • Treatment Outcome
  • Young Adult