Objective To explore the efficacy and safety of elbow arthroscopy in the treatment of Maison II radial head fractures, and evaluate its advantages and disadvantages as well as its application prospects. Methods This study retrospectively analyzed the clinical data of patients with Maison II radial head fractures treated by elbow arthroscopy, including age, gender, fracture type, surgical method, operation time, postoperative complications, etc. All patients were followed up to evaluate the postoperative treatment effect and complications. At the same time, a comprehensive analysis of domestic and foreign literature in the past 5 years was conducted to discuss the advantages and disadvantages of elbow arthroscopy in the treatment of radial head fractures. Results A total of 42 patients were included, and all patients underwent screw internal fixation under elbow arthroscopy. Postoperative X-ray examination showed satisfactory reduction and healing of fractures. The follow-up period was 12-36 months, with an average of 22.5 months. At 3 months postoperatively and at the end of follow-up, the elbow joint function of all patients improved significantly, and the VAS score and DASH score were significantly reduced. Complications included 2 cases of limited elbow joint function, which were relieved after rehabilitation treatment. Literature review showed that elbow arthroscopy in the treatment of Maison II radial head fractures has the advantages of minimally invasive, reduced soft tissue damage, quick recovery, and fewer postoperative complications. However, for some complex fractures and severe soft tissue injuries, its efficacy is limited. Conclusions Elbow arthroscopy is a safe and effective treatment method for radial head fractures, which can achieve satisfactory therapeutic effects and functional recovery. However, attention should be paid to surgical techniques and postoperative rehabilitation management. In addition, for patients with complex fractures and severe soft tissue injuries, reasonable surgical selection and postoperative management should be carried out.
Key words
Elbow arthroscopy /
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Radial head fracture /
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Internal fixation /
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Therapeutic effect
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