Enhance your skills in the reconstruction of Mason 3 multifragmentary radial head fractures associated with articular capsule involvement and coronoid process fracture. This training focuses on the surgical approach aimed at fracture stabilization through osteosynthesis, comprehensive ligamentous repair, and early postoperative management to restore elbow function.

Training Focus:

• Reconstruction of multifragmentary radial head fractures (Mason 3) with associated instability.
• Osteosynthesis of the radial head with mini-fragments.
• Comprehensive repair of ligamentous structures and the coronoid process.
• Restoration of elbow joint stability and function.
• Early postoperative management and mobility progression.

Detailed Content:

• Initial Assessment and Planning: Interpret radiographs to identify complex fractures (Mason 3) and joint involvement. Always plan for ligament repair and have a prosthesis available as an alternative.
• Surgical Approach (Kaplan): Use the Kaplan interval with an incision planned from the lateral epicondyle, ensuring adequate exposure.
• Exploration and Ligamentous Preparation: Fracture hematoma indicates joint invasion. Prepare the annular ligament before opening to facilitate closure. Good visualization of the anterior capsule.
• Fracture Assessment: Decide between osteosynthesis or arthroplasty based on the periosteum's response to fragment traction.
• Radial Head Osteosynthesis: Use 1.5mm screws, parallel or divergent, without crossing, for stable subchondral fixation.
• Coronoid Process and Capsule Repair: Use a 5.0mm metallic anchor and high-strength sutures for firm suturing of the anterior articular capsule.
• Lateral Ligamentous Repair: Reinsert the ligament with an anchor and adjust with valgus to ensure adequate tension.
• Closure and Testing: Close in layers and check intraoperative range of motion, ensuring no impingement.
• Postoperative: Begin early mobility, except for extension (limited to 45° for three weeks). Stability depends on anatomical reduction, not just fixation.

Included Material:

• Detailed Technical Procedure PDF: A comprehensive didactic document detailing each step of multifragmentary radial head fracture (Mason 3) reconstruction with associated instability. This includes initial assessment and planning, surgical access, joint exploration, osteosynthesis, coronoid process and articular capsule repair, annular ligament closure, lateral ligamentous repair, and layered closure with intraoperative testing.

Elevate your elbow surgery skills. Enroll now and master advanced techniques for complex radial head reconstructions, ensuring superior functional outcomes and early rehabilitation for your patients.