{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:56:18Z","timestamp":1787504178329,"version":"build-2736575974"},"reference-count":29,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2011,2,1]],"date-time":"2011-02-01T00:00:00Z","timestamp":1296518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:p>Mason type III fractures of the radial head are treated by open reduction and internal fixation, resection or prosthetic joint replacement. When internal fixation is performed, fixation of the radial head to the shaft is difficult and implant-related complications are common. Furthermore, problems of devascularisation of the radial head can result from fixation of the plate to the radial neck.<\/jats:p>\n                  <jats:p>In a small retrospective study, the treatment of Mason type III fractures with fixation of the radial neck in 13 cases (group 2) was compared with 12 cases where no fixation was performed (group 1). The mean clinical and radiological follow-up was four years (1 to 9). The Broberg-Morrey index showed excellent results in both groups. Degenerative radiological changes were seen more frequently in group 2, and removal of the implant was necessary in seven of 13 cases.<\/jats:p>\n                  <jats:p>Post-operative evaluation of these two different techniques revealed similar ranges of movement and functional scores. We propose that anatomical reconstruction of the radial head without metalwork fixation to the neck is preferable, and the outcome is the same as that achieved with the conventional technique. In addition degenerative changes of the elbow joint may develop less frequently, and implant removal is not necessary.<\/jats:p>","DOI":"10.1302\/0301-620x.93b2.24760","type":"journal-article","created":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T19:15:08Z","timestamp":1296501308000},"page":"223-228","source":"Crossref","is-referenced-by-count":29,"title":["Comminuted fractures of the radial head and neck"],"prefix":"10.1302","volume":"93-B","author":[{"given":"M.","family":"Neumann","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, 3010 Bern, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Nyffeler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, 3010 Bern, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Beck","sequence":"additional","affiliation":[{"name":"Luzerner Kantonsspital Luzern, 6000 Luzern 16, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004217203"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Herbertsson P, Joseffson PO, Hasserius R, et al.\n                      Uncomplicated Mason type-II and III fractures of the radial head and neck in adults: a long-term follow-up study. J Bone Joint Surg [Am] 2004;86-A:569\u201374.","DOI":"10.2106\/00004623-200403000-00016"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.33B2.244"},{"key":"R4","unstructured":"Johnston GW.\n                      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;31:51\u20136."},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0064-8"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Akesson T, Herbertsson P, Josefsson PO, et al.\n                      Primary nonoperative treatment of moderately displaced two-part fractures of the radial head. J Bone Joint Surg [Am] 2006;88-A:1909\u201314.","DOI":"10.2106\/00004623-200609000-00001"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199509040-00008"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B11.19433"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.12.024"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1080\/000164700317413184"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B7.13823"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Ikeda M, Sugiyama K, Kang C, Takagaki T, Oka Y.\n                      Comminuted fractures of the radial head: comparison of resection and internal fixation. J Bone Joint Surg [Am] 2005;87-A:76\u201384.","DOI":"10.2106\/00004623-200501000-00011"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B2.0800231"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199103000-00004"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Coleman DA, Blair WF, Shurr D.\n                      Resecton of the radial head for fractures of the radial head: long-term follow-up of seventeen cases. J Bone Joint Surg [Am] 1987;69-A:385\u201392.","DOI":"10.2106\/00004623-198769030-00010"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.02.016"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Mik\u00edc ZD, Vukadinov\u00edc SM.\n                      Late results in fractures of the radial head treated by excision. Clin Orthop 1983;181:220\u20138.","DOI":"10.1097\/00003086-198312000-00034"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Pugh DM, Wild LM, Schemitsch EH, King GJ, McKee MD.\n                      Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures. J Bone Joint Surg [Am] 2004;86-A:1122\u201330.","DOI":"10.2106\/00004623-200406000-00002"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2004.06.001"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Ring D, Quintero J, Jupiter JB.\n                      Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg [Am] 2002;84-A:1811\u201315.","DOI":"10.2106\/00004623-200210000-00011"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1177\/036354658601400206"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Broberg MA, Morrey BF.\n                      Results of delayed excision of the radial head after fracture. J Bone Joint Surg [Am] 1986;68-A:669\u201374.","DOI":"10.2106\/00004623-198668050-00005"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200707000-00003"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1007\/s001320170044"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31812e5168"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B6.17415"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Grewal R, MacDermid JC, Faber KJ, Drosdowech DS, King GJ.\n                      Comminuted radial head fractures treated with a modular metallic radial head arthroplasty: study of outcomes. J Bone Joint Surg [Am] 2006;88-A:2192\u2013200.","DOI":"10.2106\/00004623-200610000-00011"},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Shore BJ, Mozzon JB, MacDermid JC, Faber KJ, King GJ.\n                      Chronic posttraumatic elbow disorders treated with metallic radial head arthroplasty. J Bone Joint Surg [Am] 2008;90-A:271\u201380.","DOI":"10.2106\/JBJS.F.01535"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199808000-00006"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B2.24760","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.93B2.24760","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B2.24760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T14:55:59Z","timestamp":1629125759000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.93B2.24760"}},"subtitle":["IS FIXATION TO THE SHAFT NECESSARY?"],"short-title":[],"issued":{"date-parts":[[2011,2]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2011,2]]}},"alternative-id":["10.1302\/0301-620X.93B2.24760"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.93b2.24760","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,2]]}}}