title: Pediatric displaced radial neck fractures: retrospective results of a modified Metaizeau technique.
abstract: Treatment of displaced radial neck fractures is challenging and controversial, as the risk of unsatisfactory outcome increases after operative as well non-operative treatment. Between 2004 and 2012, we treated 14 children with type IV fracture of radial neck with mean angulation of 72.8°, using the modified Metaizeau technique. The average follow-up was 39 months. Heterotrophic ossification and transient posterior interosseous nerve palsy were the only complication seen in two patients who had to undergo open reduction. We feel that the inability to achieve closed reduction can be attributed to loss of periosteal hinge. We obtained 100 % excellent clinical outcome and 79 % excellent radiological outcome at final follow-up. The modified closed intramedullary pin reduction technique proved to be minimal invasive technique for displaced radial neck fractures by allowing stable anatomic reconstruction while avoiding all the complications of classical Metaizeau technique.
authors.affiliation: Bither Hospital, Near New Flyover, Sirhind, Punjab, 140406, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Bither
authors.forename: Parmanand
authors.initials: P
authors.lastname: Gupta
authors.forename: Nipun
authors.initials: N
authors.lastname: Jindal
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D009999:Ossification, Heterotopic / Q000209:etiology; D020425:Radial Neuropathy / Q000209:etiology; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
references.citation: J Pediatr Orthop. 1993 May-Jun;13(3):355-60
references.pmid: 8496371
references.citation: Injury. 2005 Feb;36 Suppl 1:A75-7
references.pmid: 15652940
references.citation: J Pediatr Orthop. 1993 Jan-Feb;13(1):85-8
references.pmid: 8416361
references.citation: Injury. 1994 Apr;25(3):169-71
references.pmid: 8168888
references.citation: J Pediatr Orthop B. 2010 May;19(3):246-55
references.pmid: 20603904
references.citation: J Bone Joint Surg Br. 1969 Nov;51(4):707-10
references.pmid: 5371975
references.citation: J Trauma. 1994 Nov;37(5):812-4
references.pmid: 7966481
references.citation: J Pediatr Orthop. 1986 Jan-Feb;6(1):51-7
references.pmid: 3941181
references.citation: J Bone Joint Surg Br. 2006 Mar;88(3):358-61
references.pmid: 16498011
references.citation: J Bone Joint Surg Am. 1981 Jan;63(1):100-6
references.pmid: 7451512
references.citation: Clin Orthop Relat Res. 1998 Aug;(353):30-9
references.pmid: 9728157
references.citation: J Pediatr Orthop. 1993 Mar-Apr;13(2):232-8
references.pmid: 8459018
references.citation: J Pediatr Orthop. 2001 Sep-Oct;21(5):570-6
references.pmid: 11521020
references.citation: J Pediatr Orthop. 2010 Mar;30(2):110-4
references.pmid: 20179555
references.citation: J Bone Joint Surg Br. 1992 Sep;74(5):760-4
references.pmid: 1527130