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A Randomized Controlled Trial Of Nonoperative Treatment Versus Open Reduction And Internal Fixation For Stable, Displaced, Partial Articular Fractures Of The Radial Head: The Rambo Trial, Wendy Bruinsma, Izaäk Kodde, Robert Jan De Muinck Keizer, Peter Kloen, Anneluuk Lindenhovius, Jos Vroemen, Robert Haverlag, Michel Van Den Bekerom, Hugo Bolhuis, Pieter Bullens, Sven Meylaerts, Peer Van Der Zwaal, Philip Steller, Michiel Hageman, David Ring, Dennis Den Hartog, Eric Hammacher, Graham King, George Athwal, Ken Faber, Darren Drosdowech, Ruby Grewal, J. Carel Goslings, Niels Schep, Denise Eygendaal
A Randomized Controlled Trial Of Nonoperative Treatment Versus Open Reduction And Internal Fixation For Stable, Displaced, Partial Articular Fractures Of The Radial Head: The Rambo Trial, Wendy Bruinsma, Izaäk Kodde, Robert Jan De Muinck Keizer, Peter Kloen, Anneluuk Lindenhovius, Jos Vroemen, Robert Haverlag, Michel Van Den Bekerom, Hugo Bolhuis, Pieter Bullens, Sven Meylaerts, Peer Van Der Zwaal, Philip Steller, Michiel Hageman, David Ring, Dennis Den Hartog, Eric Hammacher, Graham King, George Athwal, Ken Faber, Darren Drosdowech, Ruby Grewal, J. Carel Goslings, Niels Schep, Denise Eygendaal
Bone and Joint Institute
Background: The choice between operative or nonoperative treatment is questioned for partial articular fractures of the radial head that have at least 2 millimeters of articular step-off on at least one radiograph (defined as displaced), but less than 2 millimeter of gap between the fragments (defined as stable) and that are not associated with an elbow dislocation, interosseous ligament injury, or other fractures. These kinds of fractures are often classified as Mason type-2 fractures. Retrospective comparative studies suggest that operative treatment might be better than nonoperative treatment, but the long-term results of nonoperative treatment are very good. Most experts agree …