Displaced Radial Neck Fractures in Children: Association of the Métaizeau and Böhler Surgical Techniques

Brandão, Gilberto Francisco; Soares, Cláudio Beling Gonçalves; Teixeira, Luiz Eduardo Moreira; Boechat, Lucas de Castro

doi:10.1097/bpo.0b013e3181cf118a

Cited by 39 publications

(28 citation statements)

References 12 publications

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“…Previous authors have suggested that deformities of 15°to 45°are acceptable 7,13,[25][26][27] , and numerous factors have been variably associated with poor outcomes. Although there are some reports of large series [4][5][6]9,28 , much of the existing literature is limited by modest sample size and restricted to cohort studies of a specific technique.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Pediatric Radial Neck Fractures

Zimmerman

Kalish

Hresko

et al. 2013

The Journal of Bone & Joint Surgery

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Section: Discussionmentioning

confidence: 99%

Surgical Management of Pediatric Radial Neck Fractures

Zimmerman

Kalish

Hresko

et al. 2013

The Journal of Bone & Joint Surgery

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“…Therefore, a substantial amount of malunited fractures, especially those with rotational errors, may have been missed. Some patients with apparently little residual deformity showed poor results 3,5,8 , which might support this assumption.…”

Section: Introductionmentioning

confidence: 81%

“…Radial neck fractures represent 5-10% of all pediatric elbow injuries [1][2][3] . There is common agreement that the treatment algorithm should be based on the initial displacement and angulation deformity of the fracture [4][5][6][7][8] . Most of these fractures may be treated nonoperatively.…”

Section: Introductionmentioning

confidence: 99%

Computer-Assisted Corrective Osteotomy of Malunited Pediatric Radial Neck Fractures—Three-Dimensional Postoperative Accuracy and Clinical Outcome

Weigelt

Fürnstahl

Schweizer

2017

Journal of Orthopaedic Trauma

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Neglected or incorrect treatment of pediatric radial neck fractures may lead to symptomatic malunions. Computer-assisted corrective osteotomies with patient-specific guides have been proposed as a promising technique for the reconstruction of malunited long bone deformities. The aim of this study was to evaluate the accuracy and clinical outcome of this technique in children with malunited fractures of the radial neck. Four children [2 boys, 2 girls; mean age 12 (10-16) years] underwent computer-assisted closing wedge osteotomy of the radial neck. The contralateral uninjured side was used as a reconstruction template. Computed tomography were performed 8 weeks postoperatively to confirm bony consolidation and to quantify residual 3D rotational and translational displacement error. Clinical outcome [pain, range of motion (ROM)] and overall satisfaction were documented. Preoperative subluxation of the radial head could be corrected in 2 of 3 patients. One patient had to be revised because of secondary traumatic loss of reduction. At the last follow-up [mean 16 (range, 12-24) months], all patients were pain free for activities of daily living (preoperative pain: visual analog scale 6). Pain during sport activities could be substantially reduced (visual analog scale 8→2). Although the procedure failed to improve ROM, none of the patients had limitations regarding work, daily, or sports activities. Yet, restricted ROM was considered as a cosmetic problem in 1 patient. Full consolidation of the osteotomy site, with no signs of avascular necrosis of the radial head, was achieved in all patients. The deformity could be substantially reduced, from a 3D angle of 13-40 degrees to 3-7 degrees (58%-89% deformity correction). Computer-assisted corrective osteotomy is a novel technique for the treatment of radial neck malunions that led to adequate pain reduction and 3D accuracy of deformity correction in our small case series. Despite the lack of improved ROM, all patients were satisfied and would undergo the same procedure again.

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“…1 We appreciate the reinforcement given on the importance of avoiding arthrotomy and specially to the questions brought up to the light of discussion. 1 We appreciate the reinforcement given on the importance of avoiding arthrotomy and specially to the questions brought up to the light of discussion.…”

Section: In Responsementioning

confidence: 98%