Percutaneous reduction of displaced radial neck fractures in children.
Twenty-three children with displaced radial neck fractures were treated by percutaneous reduction with a Steinmann pin after closed reduction failed. Reduction was successfully accomplished in 20 patients. The average age at treatment was 10.5 years (range, 7-13 years). The average length of follow-up was 2.5 years (range, 1-6 years). According to the criteria of Steinberg et al., 14 children (70%) had a good result, three (15%) had a fair result, and three (15%) had a poor result. Percutaneous pin reduction of angulated and displaced radial neck fractures is a simple, safe alternative to open reduction. It appears that when radial head fractures are associated with severe displacement, a moderate rate of fair and poor results (30%) can be expected, despite treatment by percutaneous reduction with a Steinmann pin.
Section of Orthopaedic Surgery, La Paz Traumatology and Orthopaedics Hospital, Madrid, Spain.
E C
EC
Rodriguez Merchan
D000293:Adolescent; D001858:Bone Nails; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D008297:Male; D011677:Punctures; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*