Schmittenbecher, Peter P. and Haevernick, B. and Herold, A. and Knorr, P. and Schmid, E. (2005) Treatment decision, method of osteosynthesis, and outcome in radial neck fractures in children - a multicenter study. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 25 (1). pp. 45-50. ISSN 0271-6798,
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To determine whether closed elastic-stable intramedullary nailing (ESIN) of radial neck fractures in children is accepted as standard procedure with satisfactory results, a prospective multicenter case collection study was conducted. Sixty-six cases from 12 departments were analyzed during 2 years. Thirty-six fractures of Judet I or 2 grade (54.5%) were treated without reduction; all of these fractures showed good to excellent results. Thirty fractures of grade 3 or 4 needed a closed (25 [37.9%]) or open reduction (5 [7.6%]), and 74% of them had good to excellent results. Osteosynthesis was carried out in 26 of the reduced fractures (23 ESIN, 3 Kirschner wire fixation). Using ESIN, 78% of the results were good to excellent. Seven children developed significant restrictions of pronation/supination, including three of the five open reduced fractures. ESIN has found wide acceptance, and the results are satisfactory. Restricted use of open interventions may be the key to improving results.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MANAGEMENT; REDUCTION; radial neck fractures; children; elastic-stable intramedullary nailing; results |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Jun 2021 08:47 |
| Last Modified: | 08 Jun 2021 08:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36744 |
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