Arthroscopic-Assisted Fracture Fixation of Radial Head Fracture

Radial head fractures are common elbow injuries, often caused by falls onto an outstretched hand. Management is influenced by patient-specific factors such as age, activity level, occupation, and fracture characteristics including fragment number, displacement, and associated injuries. This chapter provides a detailed, step-by-step guide on arthroscopic-assisted reduction and internal fixation of radial head fractures. The technique offers a minimally invasive approach with enhanced visualization, allowing for precise fracture reduction and fixation. Key steps include patient positioning, portal placement, joint inspection, fracture visualization, and reduction using specialized instruments. Fixation is achieved with cannulated compression screws under direct arthroscopic guidance, reducing soft tissue trauma and promoting early mobilization. This chapter also highlights indications, contraindications, technical pearls, and potential complications associated with this advanced surgical approach.