{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:49:58Z","timestamp":1782190198621,"version":"3.54.5"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>This study aimed to analyze the therapeutic effects of conservative fixation with braces vs. open reduction with internal fixation surgery for simple Mason II radial head fractures.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 65 patients with Mason type II radial head fractures treated at the Orthopedics Department of Xi'an Honghui Hospital between January 2018 and January 2021 were analyzed retrospectively. The patients\u2019 age range was 18\u201365 years (mean age, 37.7 years). Thirty-six patients underwent surgical treatment, and 29 underwent conservative treatment. Fracture healing time, elbow joint range of motion, forearm rotation block, pain VAS score, and Broberg\u2013Morrey elbow joint function score were recorded and compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 65 patients completed follow-up. The conservative-treatment group was followed for 3\u201312 months (mean 5.14\u2009\u00b1\u20092.13 months). Fracture healing time was 10.41\u2009\u00b1\u20091.31 weeks. Mean elbow flexion was 134.32\u00b0\u2009\u00b1\u20098.59\u00b0, extension 7.65\u00b0\u2009\u00b1\u20098.27\u00b0, and Broberg\u2013Morrey score 90.82\u2009\u00b1\u200915.51. One patient experienced fracture malunion. The surgical-treatment group was followed for 12\u201336 months (mean 17.94\u2009\u00b1\u20094.90 months). Fracture healing time was 10.92\u2009\u00b1\u20092.78 weeks. Mean elbow flexion was 129.27\u00b0\u2009\u00b1\u200915.72\u00b0, extension 5.26\u00b0\u2009\u00b1\u20095.98\u00b0, and Broberg\u2013Morrey score 91.44\u2009\u00b1\u200917.12. There were two cases of postoperative infection and two cases of internal-fixation failure. No significant intergroup differences were found in fracture healing time, elbow range of motion, forearm rotation, Broberg\u2013Morrey score, or complication rate (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Subgroup analysis showed no significant differences related to gender or hand dominance. In the surgical group, screw fixation and mini plate fixation yielded similar outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both conservative and surgical treatments achieve favorable bone healing and satisfactory elbow function in simple Mason II fractures. Preoperative CT improves fracture evaluation. Treatment should be individualized based on comprehensive assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1842557","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:29:42Z","timestamp":1782188982000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative study on the efficacy of conservative treatment and surgical treatment for simple Mason II radial head fracture"],"prefix":"10.3389","volume":"13","author":[{"given":"Wei","family":"Fan","sequence":"first","affiliation":[{"name":"Honghui Hospital, Xi\u2019an Jiaotong University","place":["Xi\u2019an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Yang","sequence":"additional","affiliation":[{"name":"Honghui Hospital, Xi\u2019an Jiaotong University","place":["Xi\u2019an, 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China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Song","sequence":"additional","affiliation":[{"name":"Honghui Hospital, Xi\u2019an Jiaotong University","place":["Xi\u2019an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.jhsa.2011.09.034","article-title":"The epidemiology of radial head and neck fractures","volume":"37","author":"Duckworth","year":"2012","journal-title":"J Hand Surg Am"},{"key":"B2","first-page":"242","article-title":"Modified Mason type III and IV radial head fractures: results of different surgical treatments","volume":"86","author":"Pogliacomi","year":"2015","journal-title":"Acta Biomed"},{"key":"B3","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1148\/rg.333125176","article-title":"Traumatic elbow injuries: what the orthopedic surgeon wants to 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