Indirect Reduction and Intramedullary Pinning in Severely Displaced Radial Neck Fractures in Children

• 作者: Ashish Devgan NK Magu Raj Singh RC Siwach Suresh Kumar Vinit Verma
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: INTRAMEDULLARY PINNING RADIAL NECK FRACTURE
• 年，卷（期）: 2011,（2）
• 页码范围: 75-78
• 页数: 4页
• 分类号: R73

摘要

Fractures of the radial neck account for 5-10% of traumatic lesions of the elbow in the child. Conservative method of reduction may fail to reduce severely displaced fractures. Open reduction of severely displaced radial neck fractures is associated with a high incidence of complications. The present study describes the results achieved after closed and indirect reduction of the severely displaced radial head using a 2-mm K-wire passed intramedullary from near the radial styloid. The bent tip of the K-wire was used to manipulate the displaced head back to the shaft without opening the fracture site. The indirect reduction of the radial head using bent intramedullary K-wire is a simple, minimally invasive method, easy to perform, and obtains encouraging results with few complications. Intramedullary pin also achieves fixation of the radial head after reduction and prevents its secondary displacement.