[Minimal invasive treatment of massively dislocated radial neck fractures in children by percutaneous joystick reposition and Prevot nailing].
Undisplaced fractures of the proximal radius can generally be treated conservatively with good results. In children, spontaneous correction of some angular deformities can be expected during growth. Nevertheless, more severely displaced fracture types may require reduction in children, too. Open reduction and internal fracture fixation have shown to lead to a loss in range of motion frequently. A technique of percutaneous fracture reduction is demonstrated that can provide good results in cases when closed techniques have failed. A Kirschner wire is used to manipulate the fracture fragments percutaneously, which can often prevent open techniques. An additionally performed elastic-stable intramedullary nailing can add to an effective stabilisation and encourage to early physiotherapy.
Hilgert
R E
RE
Klinik für Unfallchirurgie, Universitätsklinikum Kiel, Arnold-Heller-Strasse 7, 24105 Kiel. Ralf-Erik-Hilgert@gmx.de
Dallek
M
M
Rueger
J M
JM
D001864:Bone Wires; D002648:Child; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000092464:Elbow Injuries