MINI-OPEN APPROACH FOR INTERNAL FIXATION OF RADIAL HEAD FRACTURES

The traditional approach to the radial head is the Kocher’s approach which involves a long lateral incision extending from the lateral aspect of the humerus above the lateral epicondyle and extending along the radius up to the radial neck. This approach has the potential ofdamage to many important structures involved in the stability of the elbow including the lateral collateral ligament and the annular ligament of the radius. Due the exposure extending down to the level of the radial neck, the chances of damage to posterior interosseus nerve were also high. The technique described involves a shorter incision and less dissection but, provides good exposure for a successful fixation. The authors regularly use the technique described for fixation of radial head fractures of Mason’s 2 and above where fixation is indicated. The most recent was a patient with bilateral radial head fractures following a fall on to both out stretched hands and the technique described was used effectively with a shorter operating time and satisfactory surgical outcome.