Journal of pediatric orthopedics · 2009
Evaluation of severely displaced radial neck fractures in children treated with elastic stable intramedullary nailing.
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Klitscher Daniela, Richter Steffen, Bodenschatz Karl, Hückstädt Thomas, Weltzien Alexandra, Müller Lars Peter, Schier Felix, Rommens Pol Maria
Аннотация
BACKGROUND: We performed a retrospective case study of 28 consecutive severely displaced radial neck fractures (Judet types III and IV) in children treated with elastic stable intramedullary nailing using the Metaizeau technique.
METHODS: We reviewed all preoperative radiographs and classified the injuries according to Judet. All patients were asked to return for later assessment. They underwent physical examination; radiographs were taken; and they were asked for subjective assessment. An evaluation of clinical results was performed using the Mayo Elbow Performance Score (MEPS).
RESULTS: According to Judet classification there were 13 type III and 15 type IV fractures. Using the MEPS, excellent results were achieved in 23 cases (82%) and good results in 5 cases (18%). The average MEPS was 97 points. Five patients complained of mild pain. Three malunions were observed.
CONCLUSIONS: Elastic stable intramedullary nailing is a minimally invasive technique, allowing stable fixation and providing excellent to good outcomes with a low complication rate.
LEVEL OF EVIDENCE: We performed a retrospective level 4 study of case series.
METHODS: We reviewed all preoperative radiographs and classified the injuries according to Judet. All patients were asked to return for later assessment. They underwent physical examination; radiographs were taken; and they were asked for subjective assessment. An evaluation of clinical results was performed using the Mayo Elbow Performance Score (MEPS).
RESULTS: According to Judet classification there were 13 type III and 15 type IV fractures. Using the MEPS, excellent results were achieved in 23 cases (82%) and good results in 5 cases (18%). The average MEPS was 97 points. Five patients complained of mild pain. Three malunions were observed.
CONCLUSIONS: Elastic stable intramedullary nailing is a minimally invasive technique, allowing stable fixation and providing excellent to good outcomes with a low complication rate.
LEVEL OF EVIDENCE: We performed a retrospective level 4 study of case series.