Intramedullary devices in the management of Judet III and IV paediatric radial neck fractures

Kiran, Manish; Bruce, Colin; George, Harvey; Garg, Neeraj; Walton, Roger

doi:10.1016/j.cjtee.2017.08.007

“…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%

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

Du

¹

,

Yu

²

,

Wu

³

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

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.

show abstract

“…By including only Judet Type 4 fractures in our study, we eliminated any effect of fracture type on treatment outcomes. Additionally, we used the Métaizeau closed reduction technique, which has gained popularity in recent years [ 12 , 13 ], as a surgical technique.…”

Section: Discussionmentioning

confidence: 99%

“…There is a study comparing TEN and K-wire in the surgical treatment of various fractures [ 14 ]. Although studies describe and compare surgical methods for the treatment of PRNFs in the literature [ 12 , 13 , 15 ], there is no study evaluating the properties of the implant in the Métaizeau closed reduction technique. In this study, we evaluated the outcomes of patients who underwent surgery with the Métaizeau closed reduction technique due to Judet Type 4 PRNF based on the characteristics of the implant utilized during the surgery.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Using K-Wire or Titanium Elastic Nails on Clinical and Radiological Outcomes in the Métaizeau Closed Reduction Technique

Aydın

¹

,

Sürücü

²

2022

International Journal of Clinical Practice

0

View full text Add to dashboard Cite

Aim. The purpose of this study was to compare the effects of using Kirschner-wire (K-wire) or titanium elastic nails (TEN) on the functional results of patients treated with the Métaizeau closed reduction technique, which is a popular treatment modality for pediatric radial neck fractures (PRNF). Methods. Patients who underwent the Métaizeau closed reduction technique for PRNF between May 2017 and May 2019 were assessed retrospectively. The Judet classification was used for the PRNF classification. The study consisted of patients who underwent the Métaizeau technique for Judet Type IV PRNFs and had at least 12 months of follow-up. Results. This study enrolled a total of 43 patients, 22 females and 21 males. Their mean age was 8.69 ± 2.3 at the time of surgery. The mean MEPS of patients undergoing K-wire surgery was 89.50, while the mean MEPS of patients undergoing TEN surgery was 92.83. There was no statistically significant difference between the two groups in terms of MEPS. When the complication rates of the two groups were evaluated, there was no statistically significant difference between them. The cost per patient for TEN was $40. The cost per patient for the K-wire was $1. Conclusion. The effect of K-wire or TEN used in the Métaizeau closed reduction technique on clinical outcomes is similar, and K-wire is more cost-effective.

show abstract

“…Kiran et al . [60] reported the results of different intramedullary devices used in the management of 30 pediatric radial neck fractures. The functional outcome was assessed by the MFSS [19] and OES [18] to evaluate both physicians and PROMs.…”

Section: Discussionmentioning

confidence: 99%

Review of pediatric functional outcomes measures used to evaluate surgical management in pediatric patients with an upper extremity fracture

Alberghina

¹

,

Andreacchio

²

,

Pavone

³

et al. 2021

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

For two decades, many scores, questionnaires, and rating systems have been used to evaluate the functional outcome of children with an upper extremity fracture (UEF). However, only a few of these were created specifically for children, and many assess only elbow function. In the absence of any published review on this topic, we set out to identify and categorize different scores used to evaluate the clinical and functional outcomes of surgically treated pediatric UEFs. A literature search was performed, and 38 studies were identified. The scores used more often were the shortened version of the Disability of the Arm, Shoulder and Hand questionnaire and the Mayo Elbow Performance Score/Index. In a lower number of studies, authors used other scoring systems, including the Mayo Wrist Score, the Patient-Rated Wrist Evaluation, the Patient-Rated Elbow Evaluation, the Métaizeau functional scoring system, the Oxford Elbow Score, the Price and Flynn criteria, the Hardacre Functional Score, the Neer Shoulder Score, the Constant-Murley Shoulder Score, the Modified Orthopedic Trauma Association Score, the Medical Outcomes Study Short Form-36, and the Pediatric Outcomes Data Collection Instrument. Some specific pediatric scoring systems to evaluate the functional outcome of children with a UEF have been suggested, but a single tool that is valid and reliable for skeletally immature patients of all ages is not yet available. Further studies are needed to identify specific pediatric measurements to increase validity, responsiveness, sensitivity, and interpretability of upper limb functional outcome scores in common clinical practice.

show abstract

Intramedullary devices in the management of Judet III and IV paediatric radial neck fractures

Cited by 8 publications

References 15 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

The Effects of Using K-Wire or Titanium Elastic Nails on Clinical and Radiological Outcomes in the Métaizeau Closed Reduction Technique

Review of pediatric functional outcomes measures used to evaluate surgical management in pediatric patients with an upper extremity fracture

Contact Info

Product

Resources

About