A and B, Anteroposterior and lateral radiographs of right elbow demonstrating initial transverse metaphyseal radial head fracture with posterior displacement and rotation of fragment. C and D, Anteroposterior and lateral views intraoperatively under image fluoroscopy after tripod fixation of fracture and lateral collateral ligament repair. E and F, Anteroposterior and lateral radiographs 5 months after surgery, demonstrating well-healed fracture without implant complications.