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Percutaneous reduction and intramedullary fixation technique for displaced pediatric radial neck fractures

Wang, Juana,*; Chen, Weia,*; Guo, Mingkeb; Su, Yanlinga; Zhang, Yingzea

Journal of Pediatric Orthopaedics B: March 2013 - Volume 22 - Issue 2 - p 127–132
doi: 10.1097/BPB.0b013e32835b5700
Upper Limb

This study investigated the outcome of displaced pediatric radial neck fractures treated by percutaneous leverage reduction and intramedullary fixation using Kirschner wires. Twenty-three patients with displaced radial neck fractures were treated following this technique. Adequate reduction was achieved in each patient. Twenty-one patients were followed up for 37 months on average. All fractures healed. Malunion occurred in three patients with an average residual angulation of 7.3°. According to the MEPI, excellent outcome was achieved in 15 patients and good outcome in six. Therefore, this technique is an effective alternative for the treatment of pediatric radial neck fractures.

aDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University

bDepartment of Orthopedic Surgery, Chinese People’s Liberation Army Hospital, Shijiazhuang, People’s Republic of China

* *Juan Wang and Wei Chen contributed equally to the writing of this article.

Correspondence to Yingze Zhang, MD, Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang 050051, People’s Republic of China Tel: +86 311 8860 3682; fax: +86 311 8702 3626; e-mail: dryzzhang@yahoo.com.cn

© 2013 Lippincott Williams & Wilkins, Inc.