Open reduction and fixation of fractures of the head and neck of the humerus in children with the use of intramedullary elasticosteosynthesis

Abstract

Radial neck fractures are not common (5-10%) but are very difficult to treat and have many possible complications. [1,2] In the conservative treatment it's impossible to reduce severe displaced fractures, resulting in malfunction. Open reduction frequently leads to intra articular calcification, avascular necrosis, and joint stiffness. [3] In most cases, intramedullary nailing allows complete reduction without capsulotomy and very low complication rate of infection.[4] The pin is left in the bone, stabilizes the epiphysis, and prevents secondary displacement. [8,9]