Abstract
Objective: The aim of this study was to report the clinical and radiological results of patients having displaced Judet type 3 radial neck fracture of and fixed with intramedullary elastic nail within 24 hours of trauma.
Methods: There were a total of 15 patients with Judet type 3 severely displaced radial neck fracture. The mean age of the study group was 9.32 years, ranging from 7 to 11 years. Females constituted 60% of the study group. Closed reduction was achieved by Metaizeau technique using percutaneous K-wire in all cases and fixation done with elastic intramedullary nail passed from distal end of radius. Patients were followed at regular intervals to look for fracture healing and complications if any. Functional evaluation was done at the end of 12 months by elbow range of motion and Mayo Elbow Performance Score (MEPS).
Results: The mean MEPS score increased from 20 points preoperatively to 90 points postoperatively (range, 12 to 95 points). Radiological evaluation revealed that all fractures healed with excellent or good alignment. At the final follow up, mean flexion was 145 degree (range, 140 to 150), extension 2 degree (range, 0 to 4), supination 82 degree (range, 80 to 90 ), and pronation 84 degree (range, 80 to 90 ).
Conclusion: Reduction and osteosynthesis of radial neck fractures by intramedullary nailing with the help of percutaneous K-wire manipulation appears to be a simple, safe and effective treatment method in children.
Level of evidence: Level IV, Therapeutic study.
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Corresponding Author
Hilal Ah Kotwal
Postgraduate Department of Orthopaedics, Govt. Medical College Srinagar J&K, India
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.150
