In unreconstructable radial head fractures, the excision is indicated:
in isolated radial head fracture
in low energy fracture
in radial head fracture without associated fracture or ligament injury
Radial head excision can produce instability of elbow or forearm (Essex-Lopresti lesion). Thus, it is contraindicated when the elbow joint is unstable (eg, coronoid fracture and / or collateral ligament rupture), or when the interosseous membrane and DRUJ have been injured.