case_images: PMC4888862_01
case_images: Anteroposterior view of the elbow on admission.. Note: A and B show the displacement of the radial head fracture, respectively.
case_images: tcrm-12-825Fig1.jpg
case_images: PMC4888862_01_tcrm-12-825Fig1.jpg
case_images: f1-tcrm-12-825
case_images: The initial radiographs revealed complete fracture-dislocation of the head and neck of the radius, with a large fragment of the radial head lateral to the shaft of the radius and posterior to the elbow joint (Figure 1).
case_images: Unstable complex fractures of the head and neck of the radius treated by a mini T-shaped plate.. Notes: (A) Radial-head comminuted fracture, lateral collateral ligament disruption from the point of insertion to the distal humerus, which was not associated with neural injury; (B, C) radial-head reconstruction and preliminary fixation with 1 mm Kirschner wires; (D) intraoperative radiographs showing right position of mini T-shaped plate; (E, F) fixation of the fracture with mini T-shaped plate.
case_images: tcrm-12-825Fig2.jpg
case_images: PMC4888862_01_tcrm-12-825Fig2.jpg
case_images: f2-tcrm-12-825
case_images: After refreshing the fracture site, these fragments were fixed with a mini T-shaped plate and screws (Synthes [Shanghai] Medical Trading Co., Ltd, Guangzhou, People's Republic of China) (Figure 2), and then the damaged periosteum was interruptedly sutured using absorbable sutures.
case_images: Postoperative radiographs demonstrating good reduction and fixation of the comminuted fragments.. Notes: (A) Lateral radiograph of the right elbow showing well-reduced articular and normal position of a mini T-shaped plate and (B) anteroposterior radiograph showing normal radiocapitellar joint and the radial-head fragment fixed with a mini T-shaped plate.
case_images: tcrm-12-825Fig3.jpg
case_images: PMC4888862_01_tcrm-12-825Fig3.jpg
case_images: f3-tcrm-12-825
case_images: The postoperative radiographs of the elbow showed that the fixation device was stable and nondisplaced (Figure 3).
case_images: Bone union at 12 months after anatomic reduction of the intra-articular surface of the radial head and stabilization with a mini T-shaped plate.. Notes: (A) Anteroposterior; (B) lateral radiographs of right elbow; and (C) removing a mini T-shaped plate at 12 months, without early fusion of the epiphysis, radial head overgrowth, or avascular necrosis.
case_images: tcrm-12-825Fig4.jpg
case_images: PMC4888862_01_tcrm-12-825Fig4.jpg
case_images: f4-tcrm-12-825
case_images: After the metalwork was removed at 1 year (Figure 4), no comment was made regarding the complications associated with the use of the internal fixator, and the patient was symptom-free with full range of motion in the elbow joint.
case_images: Final follow-up 1 year after trauma.. Note: At final follow-up 1 year after trauma, the patient was symptom-free and had full range of motion in the elbow joint, including flexion-extension (A, B) and supination-pronation (C, D) of the forearm.
case_images: tcrm-12-825Fig5.jpg
case_images: PMC4888862_01_tcrm-12-825Fig5.jpg
case_images: f5-tcrm-12-825
case_images: The Mayo Elbow Performance Score was 97 (excellent) (Figure 5).