Comparison of two closed surgical techniques at isolated pediatric radial neck fractures

This paper aims to compare the clinical and radiological results of children operated using elastic stable intramedullary nailing as described by Métaizeau to those with the closed reduction and percutaneous pinning (CRPP). Results of 21 pediatric patients with radial neck fracture who were treated...

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Bibliographic Details
Published in:Injury 2018-03, Vol.49 (3), p.618-623
Main Authors: Kalem, Mahmut, Şahin, Ercan, Kocaoğlu, Hakan, Başarır, Kerem, Kınık, Hakan
Format: Article
Language:English
Subjects:
Bone Nails
Child
Child, Preschool
Closed Fracture Reduction - methods
Closed reduction and percutaneous pinning
Elbow Joint - diagnostic imaging
Elbow Joint - physiopathology
Elbow Joint - surgery
Female
Fluoroscopy
Fracture Fixation, Intramedullary - instrumentation
Fracture Fixation, Intramedullary - methods
Humans
Male
Métaizeau method
Pediatric radial neck fracture
Radius Fractures - diagnostic imaging
Radius Fractures - physiopathology
Radius Fractures - surgery
Range of Motion, Articular - physiology
Retrospective Studies
Treatment Outcome
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Summary:This paper aims to compare the clinical and radiological results of children operated using elastic stable intramedullary nailing as described by Métaizeau to those with the closed reduction and percutaneous pinning (CRPP). Results of 21 pediatric patients with radial neck fracture who were treated by two pediatric surgeons between January 2011 and December 2013 were reviewed retrospectively. 10 were treated with the Métaizeau method versus 11 with the CRPP. Operation time, fluoroscopic exposure time, Mayo elbow performance score (MEPS) and radiological assessment at final follow-up 1 year or greater and complications were main outcome measures. The MEPS were excellent in all the patients of both groups. Reduction quality was excellent in 8 patients and good in 2 of the Métaizeau, and excellent in 9 and good in 2 of the CRPP. The fluoroscopy and operating times were statistically significantly greater, 3-fold and 2-fold respectively, in the Métaizeau method compared to the CRPP with comparable functional and radiological results. Surgeon should adhere to a closed surgical method of his/her experience for excellent result. Therapeutic Level III.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2018.01.012