Functional and radiological results of percutaneous K-wire aided Métaizeau technique in the treatment of displaced radial neck fractures in children

Çevik, Nazan; Cansabuncu, Gökhan; Akalın, Yavuz; Otuzbir, Ali; Öztürk, Alpaslan; Özkan, Yüksel

doi:10.1016/j.aott.2018.07.007

Cited by 13 publications

(21 citation statements)

References 17 publications

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“…At the same time, the new method can also reduce the number of arthrographies, because the contrast agent in operation will gradually fade. Simple elbow arthrography assisting the treatment of radial neck fracture in children often needs multiple contrasts [ 3 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to more obvious pain, it also has a certain impact on children's elbow joint function, with concurrent elbow joint necrosis and other complications affecting the growth and development of the child. For radial neck fractures with small displacement (fracture inclination angle less than 30 °), conservative treatment can be used clinically [2], while for children higher than 30 °with a larger displacement, rehabilitation therapy is required [3][4][5][6][7][8]. Open reduction as traditional therapy for bone and neck fractures in children features certain efficacy.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. A radius neck fracture in children is a common fracture that not only affects the growth and development of children but also has a certain impact on the function of children’s elbow joints. Objective. To probe into the application value of ultrasonography- (US-) guided combination with elbow arthrography in the minimally invasive treatment of radial neck fractures in young children, summarize its clinical effect and provide a minimally invasive, safe, effective, and reliable method for treating radial neck fractures in young children. Methods. Seventy-three patients with type III or IV radial neck fractures were treated from June 2013 to December 2020 and were divided into the Métaizeau group ( n = 31 , treatment group) and Kirschner wire ( k -wire) k -wire group ( n = 42 , control group). The Métaizeau group was given US-guided combination with elbow arthrography-assisted modified Métaizeau technique, the k -wire group received open reduction and internal fixation with k -wire and compared the surgical effect of the two groups. Results. In comparison with the k -wire group, time of operation, intraoperative bleeding volume, and hospital stay were signally junior to those in the Métaizeau group ( P < 0.05 ). After surgery, in comparison with the k -wire group, the number of degrees to contralateral flexion or forearm rotation was visually lower in the Métaizeau group ( P < 0.05 ), and postoperative complication incidence in the Métaizeau group was visually lower than that in k -wire group ( P < 0.05 ). Conclusion. In the minimally invasive treatment of radial neck fractures, US-guided combination with elbow arthrography in young children has better efficacy and high safety. It can be widely promoted and applied clinically.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Radial neck fracture in children is a rare event, accounting for only 1% of all pediatric fractures and approximately 5% of elbow fractures [ 1 , 12 ]. In the literature, the age interval for radial neck fracture is between 4 and 14 years with a maximum peak frequency between 9 and 12 years [ 13 , 14 ], this is explained by the significant fragility before complete ossification of the conjugal cartilage of the epiphysis (14-17 years old) [ 15 ]. In the Stiefel D series [ 16 ], the average age is 8 years and 4 months.…”

Section: Discussionmentioning

confidence: 99%

Radial neck fracture in children: anatomic and functional results of Metaizeau technique

Trabelsi¹,

Khalifa²,

Brahem³

et al. 2020

Pan Afr Med J

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Fractures of the radial neck accounts for 1% of all childhood fractures and 5% to 10% of childhood traumatic lesions involving the elbow. Intramedullary percutaneous nail reduction (Metaizeau technique) is considered the most effective surgical technique. The purpose of this study was to identify the main clinical features of radial neck fracture in children and to evaluate the anatomical and functional results of the Metaizeau technique. In this retrospective study, we evaluated 22 patients under the age of 16 who were treated for radial neck fracture at the orthopedic and trauma surgery department of Sahloul University Hospital in Sousse over a period of 16 years from January 2001 to April 2017. Authors used Metaizeau classification. Functional results were evaluated by Mayo elbow performance score (MEPS) and the radiological evaluation was based on standard images with measurement of the residual rocker. The average age was 8.6 years (5-13 years). Seven fracture were grade III injuries and three grade IV. In the immediate postoperative period, radiological measurements showed a residual rocker less than 20° in 86.3% and more than 20° in 13.7% of cases. At an average follow-up of 13 months and a half, the MEPS score was excellent and good for 17 patients. Four types of complications were found: necrosis of the radial head in 1 case, pseudarthrosis in 1 case, periarticular calcification in 2 cases and stiff-ness of the elbow in 3 cases. Despite the small number of patients in our series, we believe that the elastic stable intramedullary pinning according to the Metaizeau technique is the treatment of choice for displaced radial neck fractures in children.

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“…At present, there are many treatment options for radial neck fracture in children, and the reported conclusions differ [12][13][14][15]. A small number of patients have been included in the published papers, and the comparisons of different treatment options are relatively simple and cannot further explore the efficacy of different treatment options for children with radial neck fracture.…”

Section: Discussionmentioning

confidence: 99%

Comparison of different treatments for children with radial neck fracture and analysis of prognostic factors

Xia

You

Han

et al. 2021

Arch Orthop Trauma Surg

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Introduction The aim of this was to analyze the effect of different treatment options on radial neck fractures in children and to explore the factors affecting the prognosis of fractures. Methods The clinical data of 131 children with radial neck fractures admitted to our hospital from 2010 to 2018 were retrospectively analyzed, and the patients were divided into 6 groups according to treatment methods [manual reduction with Kirschner wires (K-wires) for internal fixation (group A); manual reduction with elastic stable intramedullary nails (ESINs) for internal fixation (group B); leverage reduction with K-wires for internal fixation (group C); leverage reduction with ESINs for internal fixation (group D); manual and leverage reduction with K-wires/ESINs for internal fixation (group E); and open reduction with K-wires/ESINs for internal fixation (group F)]. Postoperative elbow function and complications were analyzed. Results Among the 131 patients with fractures, the median age was 8 years, the median preoperative angulation was 52°, the follow-up rate was 86.3% (113/131), the average follow-up time was 58.3 months, and the postoperative complication rate was 17.7% (20/113). The comparison among the different treatment groups showed that group B had the best recovery of elbow function, postoperatively, and the lowest postoperative complication rate. Age, duration of hospitalization, and preoperative angulation were independent factors affecting postoperative complications. Older age, longer duration of hospitalization, and higher angulation increase the postoperative complications. Conclusion Different treatment options have different efficacies for radial neck fractures in children, of which manipulative reduction with internal fixation using ESINs can achieve good efficacy and a low postoperative complication rate. Age, duration of hospitalization, and preoperative angulation are independent factors for postoperative complications.

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Functional and radiological results of percutaneous K-wire aided Métaizeau technique in the treatment of displaced radial neck fractures in children

Abstract: Level IV, therapeutic study.

Cited by 13 publications

References 17 publications

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

Radial neck fracture in children: anatomic and functional results of Metaizeau technique

Comparison of different treatments for children with radial neck fracture and analysis of prognostic factors

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