Closed Reduction and Intramedullary Pinning of Radial Neck Fractures in Children
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Béla Novoth, Kلroly Fekete, Ernُ Hargitai, Tamلs Kassai, Tamلs Kُvلri, Mihلly Sashegyi1
- چاپ و سال / کشور: 2002
Description
Objective Closed reduction of displaced radial neck fractures and fixation with a percutaneously introduced intramedullary pin. Indications Radial neck fractures of Judet type III and IV. Contraindications Infection of forearm and wrist. Malunited radial shaft fractures with partial or complete obliteration of the medullary canal. Surgical Technique Closed 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. Results Since 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 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.
Orthopedics and Traumatology
