20/08/2026
WHEN THE RADIAL HEAD CAN NO LONGER BE REBUILT, SOMETIMES IT HAS TO BE REPLACED.
A man in his 30s sustained a high-energy elbow injury after a motorcycle accident, resulting in a severely comminuted fracture of the radial head and neck.
The radial head is a small but extremely important part of the elbow. It helps maintain:
* elbow stability
* smooth forearm rotation
* proper load transmission from the wrist to the elbow
In this case, the fracture was too fragmented to reliably reconstruct.
So instead of trying to fix multiple small pieces that may not heal in the correct position, we performed a:
RADIAL HEAD REPLACEMENT
The damaged radial head was removed and replaced with a metallic prosthesis, restoring the radiocapitellar articulation and allowing smooth pronation and supination of the forearm.
Final intraoperative imaging showed:
Good implant position.
Restored joint alignment.
Stable elbow articulation.
Smooth forearm rotation.
The goal is not simply to replace a broken bone.
The goal is to restore the mechanics of the entire elbow so the patient can regain motion, stability, strength, and function.
Some fractures can be fixed.
Some fractures are too destroyed to reconstruct reliably.
Knowing when to repair—and when to replace—is part of fracture surgery.
Dumaguete Orthopedic Clinic
Orthopedic Trauma • Joint Reconstruction • Hip & Knee Surgery