抄録
We reported the treatment for radial head fractures (Morrey classification; type 2) by reduction and fixation using intramedullary pinning from the distal of the radius (Métaizeau method). From May 2003, we treated three cases (one female and two males) by the Métaizeau method. Their mean age was 42.3 (range: 33 to 54) years. According to Morrey classification, all fractures were type 2.
After operation, triangle bandage fixation was performed for three or four weeks. Soon flexural extension exercise was carried for pain self-control, and the Kirschner wire extracted early when bone union was achieved.
Bone union was achieved in all patients, and the average range of motion was flex/ 131.6°: , extension/-6.6°: , pronation/ 80.0°: , spination/ 78.3°: . The average JOA score was 93 points.
The Métaizeau method is originally carried out for radius neck fractures, but it is considered a simple and minimally invasive good method for type 2 patients who are generally adaptive to operations.
