Closed Reduction and Intramedullary Pinning of Radial Neck Fractures in Children View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-12

AUTHORS

Béla Novoth, Károly Fekete, Ernõ Hargitai, Tamás Kassai, Tamás Kõvári, Mihály Sashegyi

ABSTRACT

ObjectiveClosed reduction of displaced radial neck fractures and fixation with a percutaneously introduced intramedullary pin.IndicationsRadial neck fractures of Judet type III and IV.ContraindicationsInfection of forearm and wrist.Malunited radial shaft fractures with partial or complete obliteration of the medullary canal.Surgical TechniqueClosed reduction and stabilization of displaced radial neck fractures by closed intramedullary pinning. The pin introduced through the distal metaphysis is slightly bent at its proximal end.Immediate removal of the pin, if the reduction is stable; in unstable fractures, the pin remains in place for 4–6 weeks.ResultsSince 1995 this method was used in nine radial neck fractures of Judet type III and IV. The patients' age varied between 6 and 15 years (average age 9.7 years). Clinical and radiologic examination of seven patients after 3–6 weeks, 6 months, and 1–2 years. Two children had additional injuries to the elbow and were therefore excluded. 6 weeks after surgery, six patients regained full range of motion of the elbow and were pain-free at the last examination. To achieve a proper reduction, an additional wire had to be inserted in the fracture gap in two patients. In both cases, this manipulation was followed by a heterotopic ossification. One of these patients developed a radioulnar synostosis with complete loss of pro- and supination. The ossification in the other patient was detectable radiologically without giving rise to symptoms. More... »

PAGES

289-298

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00065-002-1057-5

DOI

http://dx.doi.org/10.1007/s00065-002-1057-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031065213


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