Open reduction and internal fixation of comminuted XXXX .

@entity1 @entity129 @entity174 @entity11535 @entity30576 @entity3029
Between November 1981 and November 1984, eight @entity1 with comminuted @entity174 were treated with open reduction and internal fixation. The recommended treatment for these @entity174 has @entity11535 , with or without radial head excision. According to the AO classification all were @entity30576 @entity174 . All @entity174 were fixed through Kocher incisions using Kirschner wires and AO small fragment screws. All @entity1 began motion 7 to 10 days following surgery. In a retrospective study, clinical results were reviewed in six @entity1 with an average followup of 12 months (range, 4 to 40 months). Three @entity1 had associated @entity3029 , one requiring internal fixation of the coronoid process. Loss of range of motion averaged 3 degrees of flexion, 10 degrees of extension, 3 degrees of pronation, and 20 degrees of supination. Cybex testing demonstrated no significant difference in strength between injured and uninjured extremities. The only complication was a transient posterior @entity129 . No @entity1 had evidence of any radial shortening. Our findings suggest that open reduction and internal fixation gives satisfactory elbow function and avoids complications of radial shortening, loss of motion, and wrist symptoms that may subsequently occur following radial head excision.
