Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 12 3 2026 08 26 155 8 Mohammad Ali Okhovatpour Associate Professor, Musculoskeletal Injuries Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Atousa Jelvani Resident, Department of Orthopedic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Parviz Ahangar Orthopedic Surgeon, Shams Tabrizi Clinic, Tehran, Iran Reza Zandi Associate Professor, Musculoskeletal Injuries Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2026 02 09 2026 05 31 Background: Fractures of the radial head and neck are the most common elbow fractures, which can cause elbow dysfunction and reduced quality of life (QOL). The "tripod technique" is a new, less invasive method for fixing these fractures. The objective of this study was to assess the functional outcomes of tripod technique for treatment of radial head and neck fractures. Methods: This case series was performed on eight patients with radial head and neck fractures who were admitted to Taleghani Hospital in Tehran City, Iran, between 2021-2023, and treated with the tripod technique by a single surgeon. Patients were evaluated for demographic factors, type of trauma, fracture type, functional outcomes [Disabilities of the Arm, Shoulder, and Hand (DASH) score and Broberg and Morrey score], and surgical complications. Results: Eight patients with median age of 40 (range: 27-57 years) were evaluated radiographically and clinically 12 months post- surgery. All fractures had healed without problems. The median DASH score was 11 (range: 11-13), and the Broberg and Morrey score was 99 (range: 90-100). The median of supination was 89° (range: 75°-90°), pronation was 89° (range: 30°-90°), extension lag was -4° (range: -35°-0°), and flexion was 139° (range: 130°-142°). Only one case of ulnar hypoesthesia was reported. No reoperations were performed. Conclusion: In this limited case series, the tripod technique demonstrated promising functional and radiological outcomes with minimal complications as a minimally-invasive approach for radial head and neck fractures; however, studies with larger patient cohorts are needed to confirm its safety and efficacy. https://jost.tums.ac.ir/index.php/jost/article/view/573 https://jost.tums.ac.ir/index.php/jost/article/download/573/481