Prognosis

All in all, a satisfactory result can usually be achieved with the current treatment methods for radial head fractures. However, no method offers an optimal long-term result with absolute certainty. It is not uncommon for certain limitations to be left in the mobility of the affected elbow joint, regardless of the selected therapeutic procedure.

Both conservative and operative therapy should, however, allow the elbow joint in question to be moved to a nearly normal extent again after approximately six weeks without severe pain. After ten to twelve weeks, the joint can also be carefully loaded more heavily again. In general, the less complicated the fracture, the better the prognosis.

Simple, stable fractures without displacement of the bone fragments therefore have a better prognosis than unstable, displaced fractures or comminuted fractures. The healing of radial head fractures depends on various factors. The age of the patient, his general condition and secondary diseases play a significant role.

Furthermore, the healing time depends on the type of fracture and the chosen therapy. A conservatively treated radial head fracture can be slowly reexercised after only 7 days of immobilization. Under regular X-ray control, a final examination takes place after about 6 weeks, after which the fracture is usually well healed.

In children, healing may be faster. Complications prolong the healing process. After an operation, healing depends on the outcome of the operation.

If necessary, fixation material may have to be removed after several weeks of healing. If the elbow joint is heavily involved, healing may take longer.Normally, however, even after surgery, healing should not take longer than 6 weeks, or up to 12 weeks in the case of joint replacement. The resilience of the elbow depends on the healing process.

After a conservative therapy, after about 7 days, active exercises may be resumed, or exercises performed with the support of an expert therapist. However, certain movements may not yet be allowed again, and lifting or supporting objects may not yet be possible again. This requires further healing of the fracture.

The individual healing process can be checked by an X-ray examination. The physician will determine the individual time when the patient is allowed to fully use his elbow again. Usually the fracture is stable again after 6 months.

After surgical therapy, this time depends on the surgeon’s instructions. The duration of an incapacity to work is issued for the first week in hospital and then evaluated by the treating outpatient physician. The duration of an incapacity to work depends on the individual work requirements of the patient.

For example, a patient who uses a headset to make telephone calls in his job will be able to return to work more quickly than a painter or bricklayer who puts a lot of strain on his arms for his daily work. In the case of demanding activities, an incapacity to work can be issued for the entire duration of the healing process, but at least until load stability is achieved. Load stability means that the patient is able to fully load and use his arm again. If pain or swelling occurs during work, the patient should consult his doctor if necessary.