trauma•opsurg-614-wrist-elbow-procedur-2

ORIF Radial Head Fracture

intermediate Level

Primary Indication

Displaced Mason II-III radial head fractures with mechanical block

Danger Structures

undefined - Variable based on approach
undefined - Surrounding operative field
undefined - Bone surface
undefined - Joint surfaces if applicable

Visual Atlas

No anatomy Images Yet

We're currently sourcing high-quality anatomy diagrams for this procedure.

Step-by-Step Technique

Incision from lateral epicondyle to radial neck

ORIF Radial Head Fracture

Primary Indication

Danger Structures

Visual Atlas

No anatomy Images Yet

Step-by-Step Technique

Incision from lateral epicondyle to radial neck

Develop interval between anconeus and ECU

Supinate forearm to move PIN away from surgical field

Incise capsule and annular ligament

Inspect fracture and assess reparability

3+ fragments with >50% involvement - consider replacement

Reduce articular fragments

Provisional K-wire fixation

Headless compression screws (2.0mm) for large fragments

Mini-fragment plate in safe zone for complex patterns

Safe zone: 110° arc with forearm in neutral rotation

Check elbow ROM and PRUJ stability

Repair annular ligament if possible

ORIF Radial Head Fracture

Primary Indication

Danger Structures

Visual Atlas

No anatomy Images Yet

Step-by-Step Technique

Incision from lateral epicondyle to radial neck

Develop interval between anconeus and ECU

Supinate forearm to move PIN away from surgical field

Incise capsule and annular ligament

Inspect fracture and assess reparability

3+ fragments with >50% involvement - consider replacement

Reduce articular fragments

Provisional K-wire fixation

Headless compression screws (2.0mm) for large fragments

Mini-fragment plate in safe zone for complex patterns

Safe zone: 110° arc with forearm in neutral rotation

Check elbow ROM and PRUJ stability

Repair annular ligament if possible