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European Journal of Orthopaedic Surgery & Traumatology

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01-07-2020 | Fracture Healing | Original Article

Percutaneous k-wire leverage reduction and retrograde transphyseal k-wire fixation of angulated radial neck fractures in children

Authors: Daniele Massetti, Mario Marinelli, Giulia Facco, Danya Falcioni, Nicola Giampaolini, Nicola Specchia, Antonio Pompilio Gigante

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2020

Abstract

Purpose

To describe clinical and radiographic outcomes after surgical management of angulated radial neck fracture in children.

Methods

Twenty children (aged 2–11 years) with angulated radial neck fracture with more than 30° angulations (Judet type III and IV fractures) were retrospectively reviewed. All the enrolled patients were surgically treated with percutaneous k-wire leverage reduction and retrograde transphyseal k-wire fixation. Clinical outcomes were evaluated using Tibone and Stoltz score and the Mayo Elbow Performance Score (MEPS). Radiographic outcomes were evaluated with Métaizeau score. Complications were also evaluated.

Results

At a mean follow-up of 20 months, no patients showed axial deformity of the upper limb or instability of the elbow. The mean value of the MEPS was 99.2, and excellent clinical results were achieved in 14 patients (73.7%) at Tibone and Stoltz score. The final X-rays showed fracture healing in all patients; furthermore, 75% of patients showed excellent reduction at Métaizeau score. No patient developed complication. There were no iatrogenic nerve injuries or pin infections.

Conclusions

The results demonstrate that percutaneous k-wire leverage reduction and retrograde transphyseal k-wire fixation of angulated radial neck fracture treatment is a simple, effective, rapid and inexpensive procedure.

Level of evidence

IV (case series and systematic review of level IV studies).

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Title: Percutaneous k-wire leverage reduction and retrograde transphyseal k-wire fixation of angulated radial neck fractures in children
Authors: Daniele Massetti
Mario Marinelli
Giulia Facco
Danya Falcioni
Nicola Giampaolini
Nicola Specchia
Antonio Pompilio Gigante
Publication date: 01-07-2020
Publisher: Springer Paris
Keywords: Fracture Healing
Elbow Injury
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02654-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous k-wire leverage reduction and retrograde transphyseal k-wire fixation of angulated radial neck fractures in children

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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