Use of Surgical Glue for Mason Type III Radial Head Fractures: A Case Report

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2019 May 31

PMID 31145339

Authors

Da-Wei Chen

Wan-Kun Hu

Jia-Qian Zhou

Affiliations

Soon will be listed here.

Abstract

Rationale: A Mason type III radial head fracture, which is characterized by comminuted fragments of the radial head, is a severe injury. Open reduction and internal fixation (ORIF) is an alternative treatment method; however, the technique of using an on-table reduction in combination with surgical glue is rarely reported.

Patient Concerns: A 48-year-old man was admitted to our department with complaints of elbow pain after falling down. Elbow radiography and computed tomography (CT) demonstrated characteristics of fractures before the operation.

Diagnosis: Radiographic images showed a Mason type III radial head fracture.

Interventions: The patient underwent ORIF at our hospital. During the operation, the technique of on-table reconstruction combined with surgical glue was used.

Outcomes: The patient recovered well and was able to participate in his usual work.

Lessons: Mason type III radial head fractures could be treated with ORIF, and a satisfactory result could be anticipated, thus avoiding a radial head replacement or resection. Anatomical reduction of a comminuted radial head could be obtained via an on-table reconstruction and application of surgical glue.

References

Takao H, Shibata E, Ohtomo K . Double-Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Intrahepatic Arterioportal Shunt Prior to Chemoembolization of Hepatocellular Carcinoma. Cardiovasc Intervent Radiol. 2016; 39(10):1479-83. DOI: 10.1007/s00270-016-1377-3. View

Holte A, Tofte J, Dahlberg G, Noiseux N . Use of 2-Octyl Cyanoacrylate Adhesive and Polyester Mesh for Wound Closure in Primary Knee Arthroplasty. Orthopedics. 2017; 40(5):e784-e787. DOI: 10.3928/01477447-20170531-03. View

Meena P, Gaba S, Bobade S, Verma R, Borade A, Sonaje J . Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study. Bull Emerg Trauma. 2017; 5(4):266-272. PMC: 5694599. DOI: 10.18869/acadpub.beat.5.4.453.. View

Cronlein M, Zyskowski M, Beirer M, Imhoff F, Pforringer D, Sandmann G . Using an anatomically preshaped low-profile locking plate system leads to reliable results in comminuted radial head fractures. Arch Orthop Trauma Surg. 2017; 137(6):789-795. DOI: 10.1007/s00402-017-2693-z. View

Akman Y, Sukur E, Circi E, Ozyalvac O, Ozyer F, Ozturkmen Y . A comparison of the open reduction-internal fixation and resection arthroplasty techniques in treatment of Mason Type 3 radial head fractures. Acta Orthop Traumatol Turc. 2017; 51(2):118-122. PMC: 6197420. DOI: 10.1016/j.aott.2016.03.010. View

Guhan S, Peng S, Janbatian H, Saadeh S, Greenstein S, Al Bahrani F . Surgical adhesives in ophthalmology: history and current trends. Br J Ophthalmol. 2018; 102(10):1328-1335. DOI: 10.1136/bjophthalmol-2017-311643. View

Shermak M, Wong L, Inoue N, Crain B, Im M, Chao E . Fixation of the craniofacial skeleton with butyl-2-cyanoacrylate and its effects on histotoxicity and healing. Plast Reconstr Surg. 1998; 102(2):309-18. DOI: 10.1097/00006534-199808000-00003. View

Kim J, Yang H, Kim J, Kim S . Reduction of the Isolated Anterior Wall of the Maxillary Sinus Fracture with Double Urinary Balloon Catheters and Fibrin Glue. Arch Craniofac Surg. 2018; 18(4):238-242. PMC: 5759656. DOI: 10.7181/acfs.2017.18.4.238. View

Ikeda M, Yamashina Y, Kamimoto M, Oka Y . Open reduction and internal fixation of comminuted fractures of the radial head using low-profile mini-plates. J Bone Joint Surg Br. 2003; 85(7):1040-4. DOI: 10.1302/0301-620x.85b7.13823. View

10.

Burkhart K, Wegmann K, Muller L, Gohlke F . Fractures of the Radial Head. Hand Clin. 2015; 31(4):533-46. DOI: 10.1016/j.hcl.2015.06.003. View

11.

Hilgersom N, Eygendaal D, van den Bekerom M . Is radial head resection the first choice treatment of comminuted radial head fractures without associated instability?. Injury. 2017; 48(2):560-562. DOI: 10.1016/j.injury.2017.01.004. View

12.

Lopiz Y, Gonzalez A, Garcia-Fernandez C, Garcia-Coiradas J, Marco F . Comminuted fractures of the radial head: resection or prosthesis?. Injury. 2016; 47 Suppl 3:S29-S34. DOI: 10.1016/S0020-1383(16)30603-9. View

13.

Dou Q, Yin Z, Sun L, Feng X . Prosthesis replacement in Mason III radial head fractures: A meta-analysis. Orthop Traumatol Surg Res. 2015; 101(6):729-34. DOI: 10.1016/j.otsr.2015.06.015. View

14.

Kiran Kumar G, Sharma G, Farooque K, Sharma V, Jain V, Singh R . On-table reconstruction and fixation of Mason type III radial head fractures. Chin J Traumatol. 2016; 18(5):288-92. DOI: 10.1016/j.cjtee.2015.11.005. View

15.

Amarante M, Constantinescu M, OConnor D, Yaremchuk M . Cyanoacrylate fixation of the craniofacial skeleton: an experimental study. Plast Reconstr Surg. 1995; 95(4):639-46. DOI: 10.1097/00006534-199504000-00004. View

16.

Ring D, Quintero J, Jupiter J . Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg Am. 2002; 84(10):1811-5. DOI: 10.2106/00004623-200210000-00011. View

17.

Jordan R, Jones A . Radial Head Fractures. Open Orthop J. 2018; 11:1405-1416. PMC: 5721345. DOI: 10.2174/1874325001711011405. View

18.

MASON M . Some observations on fractures of the head of the radius with a review of one hundred cases. Br J Surg. 1954; 42(172):123-32. DOI: 10.1002/bjs.18004217203. View

19.

Tarallo L, Mugnai R, Rocchi M, Capra F, Catani F . Mason type III radial head fractures treated by anatomic radial head arthroplasty: Is this a safe treatment option?. Orthop Traumatol Surg Res. 2016; 103(2):183-189. DOI: 10.1016/j.otsr.2016.10.017. View

20.

Akcal M, Poyanli O, Unay K, Esenkaya I, Gokcen B, Firatligil A . Effect of N-butyl cyanoacrylate on fracture healing in segmental rat tibia fracture model. J Orthop Surg Res. 2014; 9:76. PMC: 4189668. DOI: 10.1186/s13018-014-0076-5. View