grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russiagrekov-2239Research ArticleПЛАСТИЧЕСКАЯ И РЕКОНСТРУКТИВНАЯ ХИРУРГИЯPLASTIC AND RECONSTRUCTIVE SURGERYВыбор тактики хирургического лечения больных с переломами головки лучевой костиThe choice of tactics of surgical treatment of patients with fractures of the head of the radiushttps://orcid.org/0000-0001-8835-4804ЕгоровК. С.EgorovK. S.

Егоров Константин Сергеевич, кандидат медицинских наук, зав. травматолого-ортопедическим отделением

194354, Россия, Санкт-Петербург, Северный пр., д. 1А

Egorov Konstantin S., Cand. of Sci. (Med.), Head of Traumatology and Orthopedic Department

1A, Severny pr., Saint Petersburg, 194354

ks.egorov@gmail.comhttps://orcid.org/0000-0002-7244-5522НеверовВ. А.NeverovV. A.

Неверов Валентин Александрович, доктор медицинских наук, профессор кафедры травматологии и ортопедии

 Санкт-Петербург

Neverov Valentin A., Cand. of Sci. (Med.), Professor of the Department of Traumatology and Orthopedics

Saint Petersburg

5507974@mail.ruhttps://orcid.org/0009-0009-2254-7019ЗуевВ. Ю.ZuevV. Yu.

Зуев Владислав Юрьевич, студент

 Санкт-Петербург

Zuev Vladislav Yu., Student

Saint Petersburg

zuiev-99@mail.ruhttps://orcid.org/0009-0002-6137-5626ЗемсковаМ. А.ZemskovaM. A.

Земскова Мария Александровна, студент

 Санкт-Петербург

Zemskova Maria A., student

Saint Petersburg

zuiev-99@mail.ruhttps://orcid.org/0000-0002-4328-6999ЧерняевС. Н.ChernyaevS. N.

Черняев Сергей Николаевич, кандидат медицинских наук, ассистент кафедры травматологии, ортопедии и военно-полевой хирургии, Северо-Западный государственный медицинский университет им. И. И. Мечникова (Санкт-Петербург, Россия), доцент кафедры экстремальной медицины, травматологии, ортопедии и военно-полевой хирургии, Санкт-Петербургский государственный педиатрический медицинский университет

 Санкт-Петербург

Chernyaev Sergey N., Cand. of Sci. (Med.), Assistant of the Department of Traumatology, Orthopedics and Military Field Surgery, North-Western State Medical University named after I.I. Mechnikov; Associate Professor of the Department of Extreme Medicine, Traumatology, Orthopedics and Military Field Surgery, St. Petersburg State Pediatric Medical University

Saint Petersburg

traumamariin@gmail.comСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская больница Святого Великомученика Георгия»РоссияSt. George Municipal HospitalRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияNorth-Western State Medical University named after I. I. MechnikovRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSaint-Petersburg State Pediatric Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияNorth-Western State Medical University named after I. I. Mechnikov; Saint-Petersburg State Pediatric Medical UniversityRussian Federation20232308202318232432Copyright © Егоров К.С., Неверов В.А., Зуев В.Ю., Земскова М.А., Черняев С.Н., 20242024Егоров К.С., Неверов В.А., Зуев В.Ю., Земскова М.А., Черняев С.Н.Egorov K.S., Neverov V.A., Zuev V.Y., Zemskova M.A., Chernyaev S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2239ЦЕЛЬ

ЦЕЛЬ. Улучшение результатов лечения пациентов с переломами головки лучевой кости за счет совершенствования алгоритма выбора методики в зависимости от типа перелома.

МЕТОДЫ И МАТЕРИАЛЫ

МЕТОДЫ И МАТЕРИАЛЫ. Авторами представлена новая классификация, в которой все переломы головки лучевой кости были разделены на 7 типов, каждому из которых соответствует оптимальная методика лечения. На основании предложенной классификации предложен и апробирован в клинической практике алгоритм выбора методики лечения пациентов с переломами головки лучевой кости различных типов. Оценен результат лечения 104 пациентов средним возрастом 43,5±14,1 лет с 106 различными переломами головки лучевой кости. Из них 65 пациентам с 67 переломами (группа 1) лечение провели согласно предложенному авторами алгоритму, а 39 пациенту с 39 переломами (группа 2) было проведено лечение, основанное на личном опыте и предпочтениях хирургов.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. Результаты лечения в срок более 6 месяцев в обеих группах оценили по шкале Mayo Elbow Performance Score (MEPS). В группе 1 отличные результаты получены в 51 (76,1 %), хорошие – в 13 (19,4 %), удовлетворительные – в 2 (3,0 %), плохие – в 1 (1,5 %) случаев. В группе 2 отличные результаты получены в 9 (23,1 %), хорошие – в 14 (35,9 %), удовлетворительные – в 9 (23,1 %), плохие – в 7 (17,9 %) случаев. Таким образом, в группе 1 результаты лечения были достоверно лучше, чем в группе 2 (при p<0,0001). При анализе отдаленных результатов лечения в зависимости от типа перелома установлено, что достоверно (при p<0,05) лучшие результаты хирургического лечения при всех видах переломов также получены у пациентов группы 1.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Полученные результаты клинического испытания подтверждают эффективность предложенного алгоритма выбора тактики лечения пациентов с переломами головки лучевой кости.

The OBJECTIVE was to improve the results of treatment of patients with fractures of the head of the radius by improving the algorithm for choosing a treatment method depending on the type of fracture.

METHODS AND MATERIALS

METHODS AND MATERIALS. The authors presented a new classification in which all fractures of the head of the radius were divided into 7 types, each of which corresponds to the optimal treatment method. Based on the proposed classification, the algorithm for choosing the treatment method for patients with fractures of the head of the radius of various types was proposed and tested in clinical practice. The result of treatment of 104 patients with an average age of 43.5±14.1 years with 106 different fractures of the head of the radius was evaluated. Of these, 65 patients with 67 fractures (group 1) were treated according to the algorithm proposed by the authors, and 39 patients with 39 fractures (group 2) were treated contrary to this algorithm.

RESULTS

RESULTS. The results of treatment for more than 6 months in both groups were evaluated on the Mayo Elbow Performance Score (MEPS). In the group 1, excellent results were obtained in 51 (76.1 %), good – in 13 (19.4 %), satisfactory – in 2 (3.0 %), bad – in 1 (1.5 %) cases. In the group 2, excellent results were obtained in 9 (23.1 %), good – in 14 (35.9 %), satisfactory – in 9 (23.1 %), bad – in 7 (17.9 %) cases. Thus, in the group 1, the treatment results were significantly better than in the group 2 (at p<0.0001). With the analysis of the long-term results of treatment depending on the type of fracture, it was found that significantly (at p<0.05) the best results of surgical treatment for all types of fractures were also obtained in patients of group 1.

CONCLUSION

CONCLUSION. The obtained results of the clinical trial confirm the effectiveness of the proposed algorithm for choosing method for the treatment of patients with fractures of the head of the radius.

перелом головки лучевой костилоктевой суставголовка лучевой костишейка лучевой костилучевая костьfracture of the head of the radiuselbow jointhead of the radiusneck of the radiusradius boneReferencesHall J.A., McKee M.D. Posterolateral rotatory instability of the elbow following radial head resection. // J Bone Joint Surg Am 2005;87:1571-1579. Doi: 10.2106/JBJS.D.02829Hall J.A., McKee M.D. Posterolateral rotatory instability of the elbow following radial head resection. // J Bone Joint Surg Am 2005;87:1571-1579. Doi: 10.2106/JBJS.D.02829Johnson J.A., Beingessner D.M., Gordon K.D., Dunning C.E., Stacpoole R.A., King G.J.W. Kinematics and stability of the fractured and implant-reconstructed radial head. // J Shoulder Elbow Surg 2005;14:195S–201S. Doi: 10.1016/j.jse.2004.09.034Johnson J.A., Beingessner D.M., Gordon K.D., Dunning C.E., Stacpoole R.A., King G.J.W. Kinematics and stability of the fractured and implant-reconstructed radial head. // J Shoulder Elbow Surg 2005;14:195S–201S. Doi: 10.1016/j.jse.2004.09.034Fuchs S, Chylarecki C. Do functional deficits result from radial head resection? // J Shoulder Elbow Surg 8: 247-251. Doi: 10.1016/s1058-2746(99)90137-4.Fuchs S, Chylarecki C. Do functional deficits result from radial head resection? // J Shoulder Elbow Surg 8: 247-251. Doi: 10.1016/s1058-2746(99)90137-4.Schneeberger A.G., Sadowski M.M., Jacob H.A. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. // J Bone Joint Surg Am 2004;86:975-982. Doi: 10.2106/00004623-200405000-00013.Schneeberger A.G., Sadowski M.M., Jacob H.A. Coronoid process and radial head as posterolateral rotatory stabilizers of the elbow. // J Bone Joint Surg Am 2004;86:975-982. Doi: 10.2106/00004623-200405000-00013.Chaijenkij K., Arirachakaran A., Kongtharvonskul J. Clinical outcomes after internal fixation, arthroplasty and resection for treatment of comminuted radial head fractures: a systematic review and network meta-analysis. // Musculoskelet. Surg. 2021;105(1):17-29. Doi: 10.1007/s12306-020-00679-3.Chaijenkij K., Arirachakaran A., Kongtharvonskul J. Clinical outcomes after internal fixation, arthroplasty and resection for treatment of comminuted radial head fractures: a systematic review and network meta-analysis. // Musculoskelet. Surg. 2021;105(1):17-29. Doi: 10.1007/s12306-020-00679-3.Costa L.A.V., Brabo B.C.P., Marangoni A.L., Taniguchi L.F.P. Severe Osteoarthritis of the Elbow after a Non-Displaced Radial Head Fracture: Case Report. // Rev Bras Ortop (Sao Paulo). 2020;55(3):383-385. Doi: 10.1055/s-0039-3402468.Costa L.A.V., Brabo B.C.P., Marangoni A.L., Taniguchi L.F.P. Severe Osteoarthritis of the Elbow after a Non-Displaced Radial Head Fracture: Case Report. // Rev Bras Ortop (Sao Paulo). 2020;55(3):383-385. Doi: 10.1055/s-0039-3402468.Kaur M.N., MacDermid J.C., Grewal R.R., Stratford P.W., Woodhouse L.J. Functional outcomes post-radial head arthroplasty: a systematic review of literature. // Shoulder Elbow. 2014;6:108-118. Doi: 10.1177/1758573214524934.Kaur M.N., MacDermid J.C., Grewal R.R., Stratford P.W., Woodhouse L.J. Functional outcomes post-radial head arthroplasty: a systematic review of literature. // Shoulder Elbow. 2014;6:108-118. Doi: 10.1177/1758573214524934.Vannabouathong C., Akhter S., Athwal G.S., Moro J., Bhandari M. Interventions for displaced radial head fractures: network meta-analysis of randomized trials. // J Shoulder Elbow Surg. 2019;28:578–586. Doi: 10.1016/j.jse.2018.10.019.Vannabouathong C., Akhter S., Athwal G.S., Moro J., Bhandari M. Interventions for displaced radial head fractures: network meta-analysis of randomized trials. // J Shoulder Elbow Surg. 2019;28:578–586. Doi: 10.1016/j.jse.2018.10.019.Lanzerath F., Hackl M., Wegmann K., Müller L.P., Leschinger T. The treatment of isolated Mason type II radial head fractures: a systematic review. // J Shoulder Elbow Surg. 2021;30(3):487-494. Doi: 10.1016/j.jse.2020.10.011.Lanzerath F., Hackl M., Wegmann K., Müller L.P., Leschinger T. The treatment of isolated Mason type II radial head fractures: a systematic review. // J Shoulder Elbow Surg. 2021;30(3):487-494. Doi: 10.1016/j.jse.2020.10.011.Ring D. Displaced, unstable fractures of the radial head: fixation vs. replacement—what is the evidence? // Injury. 2008;39:1329–1337. Doi: 10.1016/j.injury.2008.04.011.Ring D. Displaced, unstable fractures of the radial head: fixation vs. replacement—what is the evidence? // Injury. 2008;39:1329–1337. Doi: 10.1016/j.injury.2008.04.011.Tejwani N.C., Mehta H. Fractures of the radial head and neck: current concepts in management. // J Am Acad Orthop Surg. 2007;15:380–387. Doi: 10.5435/00124635-200707000-00003.Tejwani N.C., Mehta H. Fractures of the radial head and neck: current concepts in management. // J Am Acad Orthop Surg. 2007;15:380–387. Doi: 10.5435/00124635-200707000-00003.Ha A.S., Petscavage J.M., Chew F.S. Radial head arthroplasty: a radiologic outcome study. // AJR Am J Roentgenol. 2012 Nov;199(5):1078-82. Doi: 10.2214/AJR.11.7674.Ha A.S., Petscavage J.M., Chew F.S. Radial head arthroplasty: a radiologic outcome study. // AJR Am J Roentgenol. 2012 Nov;199(5):1078-82. Doi: 10.2214/AJR.11.7674.Popovic N., Gillet P., Rodriguez A., Lemaire R. Fracture of the radial head with associated elbow dislocation: results of treatment using a floating radial head prosthesis. // J Orthop Trauma. 2000;14:171–177. Doi: 10.1097/00005131-200003000-00004.Popovic N., Gillet P., Rodriguez A., Lemaire R. Fracture of the radial head with associated elbow dislocation: results of treatment using a floating radial head prosthesis. // J Orthop Trauma. 2000;14:171–177. Doi: 10.1097/00005131-200003000-00004.Harrington I.J., Sekyi-Otu A., Barrington T.W., Evans D.C., Tuli V. The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long-term review. // J Trauma. 2001;50:46–52. Doi: 10.1097/00005373-200101000-00009.Moro J.K., Werier J., Macdermid J.C., Patterson S.D., King G.J. Arthroplasty with a metal radial head for unreconstructable fractures of the radial head. // J Bone Joint Surg Am. 2001;83:1201–1211. Doi: 10.2106/00004623-200108000-00010Harrington I.J., Sekyi-Otu A., Barrington T.W., Evans D.C., Tuli V. The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long-term review. // J Trauma. 2001;50:46–52. Doi: 10.1097/00005373-200101000-00009.Ring D., Quintero J., Jupiter J.B. Open reduction and internal fixation of fractures of the radial head. // J Bone Joint Surg Am. 2002;84(10):1811–5. Doi: 10.2106/00004623-200210000-00011Ikeda M., Sugiyama K., Kang C., Takagaki T., Oka Y. Comminuted fractures of the radial head. Comparison of resection and internal fixation. // J Bone Joint Surg Am. 2005;87:76–84. Doi: 10.2106/JBJS.C.01323.Moro J.K., Werier J., Macdermid J.C., Patterson S.D., King G.J. Arthroplasty with a metal radial head for unreconstructable fractures of the radial head. // J Bone Joint Surg Am. 2001;83:1201–1211. Doi: 10.2106/00004623-200108000-00010Lindenhovius A.L., Felsch Q., Doornberg J.N., Ring D., Kloen P. Open reduction and internal fixation compared with excision for unstable displaced fractures of the radial head. // J Hand Surg Am. 2007 May-Jun;32(5):630-6. Doi: 10.1016/j.jhsa.2007.02.016.Ring D., Quintero J., Jupiter J.B. Open reduction and internal fixation of fractures of the radial head. // J Bone Joint Surg Am. 2002;84(10):1811–5. Doi: 10.2106/00004623-200210000-00011Nalbantoglu U., Kocaoglu B., Gereli A., Aktas S., Guven O. Open reduction and internal fixation of Mason type III radial head fractures with and without an associated elbow dislocation. // J Hand Surg. 2007;32:1560–1568. Doi: 10.1016/j.jhsa.2007.09.016.Ikeda M., Sugiyama K., Kang C., Takagaki T., Oka Y. Comminuted fractures of the radial head. Comparison of resection and internal fixation. // J Bone Joint Surg Am. 2005;87:76–84. Doi: 10.2106/JBJS.C.01323.Lindenhovius A.L., Felsch Q., Ring D., Kloen P. The long-term outcome of open reduction and internal fixation of stable displaced isolated partial articular fractures of the radial head. // J Trauma. 2009 Jul;67(1):143-6. Doi: 10.1097/TA.0b013e31818234d6.Ruan H.J., Fan C.Y., Liu J.J., Zeng B.F. A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III. // Int Orthop. 2009;33:249–253. Doi: 10.1007/s00264-007-0453-3.Lindenhovius A.L., Felsch Q., Doornberg J.N., Ring D., Kloen P. Open reduction and internal fixation compared with excision for unstable displaced fractures of the radial head. // J Hand Surg Am. 2007 May-Jun;32(5):630-6. Doi: 10.1016/j.jhsa.2007.02.016.Burkhart K.J, Mattyasovszky S.G, Runkel M, Schwarz C., Küchle R., Hessmann M.H., Rommens P.M., Lars M.P. Mid- to long-term results after bipolar radial head arthroplasty. // J Shoulder Elbow Surg. 2010;19:965–972. Doi: 10.1016/j.jse.2010.05.022.Nalbantoglu U., Kocaoglu B., Gereli A., Aktas S., Guven O. Open reduction and internal fixation of Mason type III radial head fractures with and without an associated elbow dislocation. // J Hand Surg. 2007;32:1560–1568. Doi: 10.1016/j.jhsa.2007.09.016.Businger A., Ruedi T.P., Sommer C. On-table reconstruction of comminuted fractures of the radial head. // Injury. 2010;41:583–588. Doi: 10.1016/j.injury.2009.10.026.Lindenhovius A.L., Felsch Q., Ring D., Kloen P. The long-term outcome of open reduction and internal fixation of stable displaced isolated partial articular fractures of the radial head. // J Trauma. 2009 Jul;67(1):143-6. Doi: 10.1097/TA.0b013e31818234d6.Chen X., Wang SC., Cao L.H., Yang G.Q., Li M., Su J.C. Comparison between radial head replacement and open reduction and internal fixation in clinical treatment of unstable, multi-fragmented radial head fractures. // Int Orthop. 2011;35(7):1071–1076. Doi: 10.1007/s00264-010-1107-4.Ruan H.J., Fan C.Y., Liu J.J., Zeng B.F. A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III. // Int Orthop. 2009;33:249–253. Doi: 10.1007/s00264-007-0453-3.Iftimie P.P., Calmet Garcia J., Forcada D.I., Pedrouzo J.E.G., Gomà J.G. Resection arthroplasty for radial head fractures: long-term follow-up. // J Shoulder Elbow Surg. 2011;20:45–50. Doi: 10.1016/j.jse.2010.09.005.Burkhart K.J, Mattyasovszky S.G, Runkel M, Schwarz C., Küchle R., Hessmann M.H., Rommens P.M., Lars M.P. Mid- to long-term results after bipolar radial head arthroplasty. // J Shoulder Elbow Surg. 2010;19:965–972. Doi: 10.1016/j.jse.2010.05.022.Ricon F.J., Sanchez P., Lajara F., Galán A., Lozano J.A., Guerado E. Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures. // J Shoulder Elbow Surg. 2012;21:82–91. Doi: 10.1016/j.jse.2011.01.032.Iacobellis C., Visentin A., Aldegheri R.. Open reduction and internal fixation of radial head fractures. // Musculoskeletal Surg. 2012;96(Suppl 1):S81–S86. Doi: 10.1007/s12306-012-0186-3.Businger A., Ruedi T.P., Sommer C. On-table reconstruction of comminuted fractures of the radial head. // Injury. 2010;41:583–588. Doi: 10.1016/j.injury.2009.10.026.Zarattini G., Galli S., Marchese M., Mascio L.D., Pazzaglia U.E. The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation. // J Orthop Trauma. 2012;26:229–235. Doi: 10.1097/BOT.0b013e318220a227.Chen X., Wang SC., Cao L.H., Yang G.Q., Li M., Su J.C. Comparison between radial head replacement and open reduction and internal fixation in clinical treatment of unstable, multi-fragmented radial head fractures. // Int Orthop. 2011;35(7):1071–1076. Doi: 10.1007/s00264-010-1107-4.Duckworth A.D., Wickramasinghe N.R., Clement N.D., Court-Brown C.M., McQueen M.M. Radial head replacement for acute complex fractures: what are the rate and risks factors for revision or removal? // Clin Orthop Relat Res. 2014 Jul;472(7):2136-43. Doi: 10.1007/s11999-014-3516-y.Duckworth A.D, Wickramasinghe N.R, Clement N.D, Court-Brown C.M, McQueen M.M. Long-term outcomes of isolated stable radial head fractures. // J Bone Joint Surg Am. 2014 Oct 15;96(20):1716-23. Doi: 10.2106/JBJS.M.01354.Iftimie P.P., Calmet Garcia J., Forcada D.I., Pedrouzo J.E.G., Gomà J.G. Resection arthroplasty for radial head fractures: long-term follow-up. // J Shoulder Elbow Surg. 2011;20:45–50. Doi: 10.1016/j.jse.2010.09.005.Hildebrand A.H., Zhang B., Horner N.S., King G., Khan M, Alolabi B. Complications following radial head excision. Indications and outcomes of radial head excision: A systematic review. // Shoulder Elbow. 2020 Jun;12(3):193-202. Doi: 10.1177/1758573219864305.Ricon F.J., Sanchez P., Lajara F., Galán A., Lozano J.A., Guerado E. Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures. // J Shoulder Elbow Surg. 2012;21:82–91. Doi: 10.1016/j.jse.2011.01.032.Nolte P.C., Tross A.K., Groetzner-Schmidt C., Jung M.K., Porschke F., Grützner P.A., Guehring T., Schüler S., Schnetzke M. Risk Factors for Revision Surgery Following Radial Head Arthroplasty without Cement for Unreconstructible Radial Head Fractures: Minimum 3-Year Follow-up. // J Bone Joint Surg Am. 2021 Apr 21;103(8):688-695. Doi: 10.2106/JBJS.20.01231.Schnetzke M., Jung M.K., Groetzner-Schmidt C., Tross A.K., Porschke F., Grützner P.A., Guehring T., Nolte PC Long-term outcome and survival rate of monopolar radial head replacement. // J Shoulder Elbow Surg. 2021 Jul;30(7):e361-e369. Doi: 10.1016/j.jse.2020.11.031.Iacobellis C., Visentin A., Aldegheri R.. Open reduction and internal fixation of radial head fractures. // Musculoskeletal Surg. 2012;96(Suppl 1):S81–S86. Doi: 10.1007/s12306-012-0186-3.Raven T.F., Moghaddam A., Studier-Fischer S., Grützner P.A., Biglari B. Clinical long-term results of radial head arthroplasty in comminuted radial head fractures. // Musculoskelet Surg. 2022 Mar 30. Online ahead of print. Doi: 10.1007/s12306-022-00742-1.Zarattini G., Galli S., Marchese M., Mascio L.D., Pazzaglia U.E. The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation. // J Orthop Trauma. 2012;26:229–235. Doi: 10.1097/BOT.0b013e318220a227.Scoscina D., Facco G., Luciani P., Setaro N., Senesi L., Martiniani M., Gigante A.P. Mason type III fractures of the radial head: ORIF, resection or prosthetic replacement? // Musculoskelet Surg. 2022 Apr 16. Online ahead of print. Doi: 10.1007/s12306-022-00745-y.Yang G., Li S., Zhang H., Lu Y. A systematic review and meta-analysis on different stem fixation methods of radial head prostheses during long-term follow-up. // Front Bioeng Biotechnol. 2022 Nov 1;10:1041531. Doi: 10.3389/fbioe.2022.1041531.Duckworth A.D., Wickramasinghe N.R., Clement N.D., Court-Brown C.M., McQueen M.M. Radial head replacement for acute complex fractures: what are the rate and risks factors for revision or removal? // Clin Orthop Relat Res. 2014 Jul;472(7):2136-43. Doi: 10.1007/s11999-014-3516-y.Mason M.L. Some observations on fractures of the head of the radius with a review of one hundred cases. // Br J Surg. 1954 Sep;42(172):123-32. Doi: 10.1002/bjs.18004217203.Johnston G.W. A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature. // Ulster Med J. 1962 Jun 1;31(1):51-6. PMID: 14452145.Duckworth A.D, Wickramasinghe N.R, Clement N.D, Court-Brown C.M, McQueen M.M. Long-term outcomes of isolated stable radial head fractures. // J Bone Joint Surg Am. 2014 Oct 15;96(20):1716-23. Doi: 10.2106/JBJS.M.01354.Hotchkiss R.N. Displaced Fractures of the Radial Head: Internal Fixation or Excision? // J Am Acad Orthop Surg. 1997 Jan;5(1):1-10. Doi: 10.5435/00124635-199701000-00001.Hildebrand A.H., Zhang B., Horner N.S., King G., Khan M, Alolabi B. Complications following radial head excision. Indications and outcomes of radial head excision: A systematic review. // Shoulder Elbow. 2020 Jun;12(3):193-202. Doi: 10.1177/1758573219864305.Morgan S.J., Groshen S.L., Itamura J.M., Shankwiler J., Brien W.W., Kuschner S.H. Reliability evaluation of classifying radial head fractures by the system of Mason. // Bull Hosp Jt Dis. 1997;56(2):95-8.Nolte P.C., Tross A.K., Groetzner-Schmidt C., Jung M.K., Porschke F., Grützner P.A., Guehring T., Schüler S., Schnetzke M. Risk Factors for Revision Surgery Following Radial Head Arthroplasty without Cement for Unreconstructible Radial Head Fractures: Minimum 3-Year Follow-up. // J Bone Joint Surg Am. 2021 Apr 21;103(8):688-695. Doi: 10.2106/JBJS.20.01231.Mouchet A. Les Fractures du col du radius. // Rev de chir. 1900;21:596.Schnetzke M., Jung M.K., Groetzner-Schmidt C., Tross A.K., Porschke F., Grützner P.A., Guehring T., Nolte PC Long-term outcome and survival rate of monopolar radial head replacement. // J Shoulder Elbow Surg. 2021 Jul;30(7):e361-e369. Doi: 10.1016/j.jse.2020.11.031.Muller M.E., Koch P., Nazarian S., Schatzke J.. The comprehensive classification of fractures in long bones. // Springer Berlin, Heidelberg. Aug 1990:220. Doi.org/10.1007/978-3-642-61261-9.Raven T.F., Moghaddam A., Studier-Fischer S., Grützner P.A., Biglari B. Clinical long-term results of radial head arthroplasty in comminuted radial head fractures. // Musculoskelet Surg. 2022 Mar 30. Online ahead of print. Doi: 10.1007/s12306-022-00742-1.Каплан А.В. Повреждение костей и суставов. // М.: Медицина. 1979. – с. 104-114.Scoscina D., Facco G., Luciani P., Setaro N., Senesi L., Martiniani M., Gigante A.P. Mason type III fractures of the radial head: ORIF, resection or prosthetic replacement? // Musculoskelet Surg. 2022 Apr 16. Online ahead of print. Doi: 10.1007/s12306-022-00745-y.Stonkovic P., Emmermann H., Ritsch H. Behchandlung-methoden und Ergebnisse von III Redisskopfcherfracturen. // Mach. Unfallheilk. 1974;77(4):179-185.Yang G., Li S., Zhang H., Lu Y. A systematic review and meta-analysis on different stem fixation methods of radial head prostheses during long-term follow-up. // Front Bioeng Biotechnol. 2022 Nov 1;10:1041531. Doi: 10.3389/fbioe.2022.1041531.Селя Л.Ш. Хирургическое лечение повреждений и некоторых заболеваний головки лучевой кости. / М. Центр. НИИ травматологии и ортопедии им. Н.Н. Приорова. 1988. - 19 с.Mason M.L. Some observations on fractures of the head of the radius with a review of one hundred cases. // Br J Surg. 1954 Sep;42(172):123-32. Doi: 10.1002/bjs.18004217203.Guida G., Iolscon G., Marrone G., Toro A., Siano A. The Elbow. Traumatic lesion. // New York. Bologna. 1991;2:95-100.Johnston G.W. A follow-up of one hundred cases of fracture of the head of the radius with a review of the literature. // Ulster Med J. 1962 Jun 1;31(1):51-6. PMID: 14452145.Broberg M.A., Morrey B.F. Results of treatment of fracture-dislocations of the elbow. // Clin Orthop Relat Res. 1987 Mar;(216):109-19. PMID: 3102139Hotchkiss R.N. Displaced Fractures of the Radial Head: Internal Fixation or Excision? // J Am Acad Orthop Surg. 1997 Jan;5(1):1-10. Doi: 10.5435/00124635-199701000-00001.Rineer C.A., Guitton T.G., Ring D. Radial head fractures: loss of cortical contact is associated with concomitant fracture or dislocation. // J Shoulder Elbow Surg. 2010 Jan;19(1):21-5. Doi: 10.1016/j.jse.2009.05.015.Morgan S.J., Groshen S.L., Itamura J.M., Shankwiler J., Brien W.W., Kuschner S.H. Reliability evaluation of classifying radial head fractures by the system of Mason. // Bull Hosp Jt Dis. 1997;56(2):95-8.Surucu S., Torres K.A., Mitchell G., Bachman D., Cheng A.L., Cil A.; ASES Elbow Fracture-Dislocation Multicenter Study Group. Decision-making in the treatment of radial head fractures: Delphi methodology. // J Shoulder Elbow Surg. 2023 Feb;32(2):364-373. Doi: 10.1016/j.jse.2022.10.002.Mouchet A. Les Fractures du col du radius. // Rev de chir. 1900;21:596.Morrey B.F., An K.N., Chao E.Y. Functional evaluation of the elbow. // The elbow and its disorders. Philadelphia: Saunders, 1993;86–97Muller M.E., Koch P., Nazarian S., Schatzke J.. The comprehensive classification of fractures in long bones. // Springer Berlin, Heidelberg. Aug 1990:220. Doi.org/10.1007/978-3-642-61261-9.Kaplan A.V. Injury of bones and joints. // M.: Medicine. 1979:104-114. (In Russ.).Kaplan A.V. Injury of bones and joints. // M.: Medicine. 1979:104-114. (In Russ.).Stonkovic P., Emmermann H., Ritsch H. Behchandlung-methoden und Ergebnisse von III Redisskopfcherfracturen. // Mach. Unfallheilk. 1974;77(4):179-185.Stonkovic P., Emmermann H., Ritsch H. Behchandlung-methoden und Ergebnisse von III Redisskopfcherfracturen. // Mach. Unfallheilk. 1974;77(4):179-185.Selya L.S. Surgical treatment of injuries and some diseases of the head of the radius. / M. Institute for Traumatology and Orthopedics named after N.N. Priorov. 1988:19. (In Russ.).Selya L.S. Surgical treatment of injuries and some diseases of the head of the radius. / M. Institute for Traumatology and Orthopedics named after N.N. Priorov. 1988:19. (In Russ.).Guida G., Iolscon G., Marrone G., Toro A., Siano A. The Elbow. Traumatic lesion. // New York. Bologna. 1991;2:95-100.Guida G., Iolscon G., Marrone G., Toro A., Siano A. The Elbow. Traumatic lesion. // New York. Bologna. 1991;2:95-100.Broberg M.A., Morrey B.F. Results of treatment of fracture-dislocations of the elbow. // Clin Orthop Relat Res. 1987 Mar;(216):109-19. PMID: 3102139Broberg M.A., Morrey B.F. Results of treatment of fracture-dislocations of the elbow. // Clin Orthop Relat Res. 1987 Mar;(216):109-19. PMID: 3102139Rineer C.A., Guitton T.G., Ring D. Radial head fractures: loss of cortical contact is associated with concomitant fracture or dislocation. // J Shoulder Elbow Surg. 2010 Jan;19(1):21-5. Doi: 10.1016/j.jse.2009.05.015.Rineer C.A., Guitton T.G., Ring D. Radial head fractures: loss of cortical contact is associated with concomitant fracture or dislocation. // J Shoulder Elbow Surg. 2010 Jan;19(1):21-5. Doi: 10.1016/j.jse.2009.05.015.Surucu S., Torres K.A., Mitchell G., Bachman D., Cheng A.L., Cil A.; ASES Elbow Fracture-Dislocation Multicenter Study Group. Decision-making in the treatment of radial head fractures: Delphi methodology. // J Shoulder Elbow Surg. 2023 Feb;32(2):364-373. Doi: 10.1016/j.jse.2022.10.002.Surucu S., Torres K.A., Mitchell G., Bachman D., Cheng A.L., Cil A.; ASES Elbow Fracture-Dislocation Multicenter Study Group. Decision-making in the treatment of radial head fractures: Delphi methodology. // J Shoulder Elbow Surg. 2023 Feb;32(2):364-373. Doi: 10.1016/j.jse.2022.10.002.Morrey B.F., An K.N., Chao E.Y. Functional evaluation of the elbow. // The elbow and its disorders. Philadelphia: Saunders, 1993;86–97Morrey B.F., An K.N., Chao E.Y. Functional evaluation of the elbow. // The elbow and its disorders. Philadelphia: Saunders, 1993;86–97

The authors declare that there are no conflicts of interest present.