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


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.


CONCLUSIONS
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.
Orthopaedics, Chungnam National University Hospital, Daejeon, South Korea. csm9827@hanmail.net
Soo Min
SM
Cha
Hyun Dae
HD
Shin
Kyung Cheon
KC
Kim
Sun Cheol
SC
Han
D000293:Adolescent; D053587:Arthrometry, Articular; D001864:Bone Wires; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D008297:Male; D011859:Radiography; D011884:Radius / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*