{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:59:19Z","timestamp":1781024359642,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Complex comminuted fractures of the radial head (Mason type III\/IV) remain challenging to manage. This study compares functional and clinical outcomes between radial head prosthesis and excision.\n\nMaterials and Methods: This retrospective study included 40 adult patients who underwent operative management for acute, displaced radial head fractures (Mason Type III or IV) at a single institution between November 2022 and November 2024. A total of 2 years of the patient\u2019s medical records, operative reports, and radiographic images were reviewed. Patients were categorised into two treatment groups: Group A (Excision, n = 20) received radial head excision, and Group B (Replacement, n = 20) was treated with metallic radial head replacement arthroplasty. Inclusion criteria required a minimum of 6-month follow-up. Pre-operative data, including patient demographics, injury mechanism, and fracture classification, were collected, and post-operative follow-up data focused on assessing clinical outcomes using the Mayo Elbow Performance Index (MEPI) and Broberg-Morrey scores, alongside complications.\n\nResults: The mean age was 44 years of age with a standard deviation of \u00b17.4. Operative time (69.85 vs. 50.4 min, P &lt; 0.001) and hospital stay (7.6 vs. 4.95 days, P = 0.0003) were longer for the prosthesis. MEPI and Broberg-Morrey scores were higher in the prosthesis group at all follow-ups (P &lt; 0.05). Instability occurred in 40% of excision cases but none in prosthesis cases.\n\nConclusion: Radial head replacement offers better early functional outcomes and joint stability.\n\nKeywords: Radial head fracture, prosthesis, excision, functional outcome, elbow instability.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i06.7406","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:18:22Z","timestamp":1781021902000},"page":"143-149","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Radial Head Prosthesis versus Excision in Comminuted Radial Head Fractures: A Retrospective Comparative Study"],"prefix":"10.13107","volume":"16","author":[{"given":"Hemal Kumar V.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mit","family":"Parikh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravikumar","family":"Donda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:18:23Z","timestamp":1781021903000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/06\/comparison-of-radial-head-prosthesis-versus-excision-in-comminuted-radial-head-fractures-a-retrospective-comparative-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i06.7406","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}