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International Orthopaedics
Published in: International Orthopaedics 4/2012

01-04-2012 | Original Paper

Percutaneous reduction and leverage fixation using K-wires in paediatric angulated radial neck fractures

Authors: Soo Min Cha, Hyun Dae Shin, Kyung Cheon Kim, Sun Cheol Han

Published in: International Orthopaedics | Issue 4/2012

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Abstract

Purpose

We evaluated the usefulness of percutaneous reduction and leverage fixation using K-wires in children with radial neck fractures.

Materials and methods

Between 2006 and 2008, we evaluated 13 paediatric patients with radial neck fractures who had been observed for at least two years and underwent percutaneous reduction and leverage fixation using K-wires. We measured radial angulation and radial translation using preoperative, postoperative and final follow-up radiographs, and we clinically investigated range of motion and carrying angle according to Steele’s grading system.

Results

Excellent clinical results were achieved in 11 (84.6%) patients, good results in one (7.6%) and fair results in one (7.6%). There were no poor results. The patient in whom fair results were achieved also had an olecranon fracture, which was treated conservatively. Complications such as nonunion, infection, iatrogenic nerve injury and periarticular ossification were minimal. Radioulnar synostosis was absent between the radial neck fracture and the greenstick fracture of the olecranon. Growth arrest in the proximal radial epiphysis was also absent.

Conclusion

Percutaneous reduction and leverage fixation using K-wires in children with radial neck fractures is a recommended surgical treatment that can achieve recovery of normal radial angulation and elbow motion.
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Metadata
Title
Percutaneous reduction and leverage fixation using K-wires in paediatric angulated radial neck fractures
Authors
Soo Min Cha
Hyun Dae Shin
Kyung Cheon Kim
Sun Cheol Han
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1387-3

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