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Abstract

Objective: To assess the functional outcome of radial head fracture Mason type III and IV treated with K-wire fixation.Materials and Methods:This prospective study was conducted at Department of Orthopaedics,Civil Hospital,Dow Universityof Health Sciences Karachi from 2013 to 2015. Patients with Radial head fracture type III and IV were included in the study.Results:A total of 42 patients were included in this study. Out of these 36 were males and 6 were females. Right side wasinjured in 18 patients and left side in 24 patients. 32 patients were with Mason type III radial head fracture and 10 were Masontype IV fractures. All fractures were fixed with open reduction and internal fixation with K-wire. Lateral approach was usedin all fractures. In Type IV elbow was reduced with close technique. Outcome was measured on the basis of Morrey elbowscoring system. 22 patients with type III radial head fracture had excellent results while10 with type III had good result. Allpatients with radial head fractureType IV had good results.Conclusion:Assessment of functional outcome of radial head fracture Mason type III treated with K-wire fixation showedexcellent outcome in majority of patients while Type IV had good outcome.Mason type III radial head fractures should bereduced and fixed with K-wire. It maintains the stability of elbow joint and elbow function.