Publication: The outcome of Radial Neck Fracture Treated with Closed/ Open Reduction and Retrograde Kirschner Wires Fixation in the Paediatric Age Group
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Radial neck fractures in children are rare injuries, representing 1 to 5% of all elbow
pediatric fractures. Most of them are non-displaced or slightly displaced and treated
conservatively. Severely displaced or angulated radial neck fractures (Judet type III
and IV fractures or O’Brien type III radial neck fractures) requires surgical treatment.
Objective
To study the clinical and radiological outcomes of fractures following closed or open
reduction and percutaneous intramedullary stabilization of the displaced radial neck
fracture in children.
Method
There were 24 children with displaced radial neck fracture Judet type II, III and
IV fractures O’Brien type II, III who underwent closed reduction and retrograde
intramedullary stabilization with Kirschner wires. Functional outcomes were
evaluated based on of Mayo Elbow Performance Score.
Result
The mean age of patients was 8.42 ± 1.82 years with boys 15(62.5%) and girls
9(37.5%) in number. An excellent result was seen in 5(20.8%) cases and good results
in 15(62.5%) cases according to the Mayo elbow performance score. Analyzing
a passive and active range of motion, 5 had excellent results, 15 had good results
and 4 had fair results compared to the normal side. Radiological evaluation showed
fracture healing in excellent or good alignment according to Ursei radiological
evaluation classification.
Conclusion
Closed reduction and retrograde intramedullary Kirschner wires stabilization for the
displaced radial neck fracture provide excellent clinical and radiological results with
few complications.
KEY WORDS
Kirschner wires fixation, Paediatric elbow, Radial neck fracture
Description
Sapkota K, Ranjeet N, Onta PR, Thapa P
Department of Orthopedics
Manipal College of Medical Sciences
Phulbari, Pokhara, Nepal
Keywords
Kirschner wires fixation, Paediatric elbow, Radial neck fracture