Mikel AB, et al. - Researchers sought to compare the clinical and radiological results of 20 patients who received a radial head prosthesis against 12 patients treated with resection for the management of radial head fractures in the treatment of complex elbow dislocations. This retrospective study was conducted between the years 2001 and 2016 in complex elbow dislocations associating comminuted fractures of the radial head (Mason type IV). In the prosthesis group, the average age of the sample was 52.2 years, and in the resection group, the average age was 58.5, with a mean follow-up of 83.8 and 163 months respectively. The resection group had a significantly higher mean Disabilities of the Arm, Shoulder and Hand score (29.8 vs 10.3). Patients treated with radial head excision had a significantly higher rate of reinterventions and heterotopic ossifications. The prosthesis group had a specific radiological complication rate of 45%. Outcomes suggest the possibility of radial head resection to be a valid treatment in this group of patients, however, the main option for the treatment of these lesions would remain radial head arthroplasty.