Outcome of intramedullary pinning of isolated radial neck fractures in adulthood

Kaziz, Hamdi; Benzarti, Sofien; Triki, Mohamed Amine; Mouelhi, Thabet; Naouar, Nader; Ayèche, Mohamed Laziz Ben

doi:10.1016/j.jse.2018.06.008

Cited by 4 publications

(8 citation statements)

References 24 publications

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“…The search strategy is illustrated in Figure 1 and identified 34 studies for consideration. After application of inclusion criteria, seven studies were deemed eligible for inclusion (n=55) [20][21][22][23][24][25][26] . Singh et al 20 reported a prospective case series, five further studies were retrospective case series [21][22][23][24][25] and Serbest et al reported a case report 6 .…”

Section: Resultsmentioning

confidence: 99%

“…After application of inclusion criteria, seven studies were deemed eligible for inclusion (n=55) [20][21][22][23][24][25][26] . Singh et al 20 reported a prospective case series, five further studies were retrospective case series [21][22][23][24][25] and Serbest et al reported a case report 6 . Concise study characteristics are summarised in Table II.…”

Section: Resultsmentioning

confidence: 99%

“…Keller et al 22 reported three complications in their six patients with two cases of malunion and one case of avascular necrosis, although this AVN was after a fracture-dislocation of the elbow. Kaziz et al reported the second-highest complication rate at 43%, with the majority (50%) of these down to joint stiffness 21 . No study reported any patients requiring revision surgery.…”

Section: Complicationsmentioning

confidence: 99%

“…Intramedullary fixation of radial head and neck fractures is a commonly reported technique for acta orthopaedica belgica 89|2|2023 Singh et al 20 Kaziz et al 21 Keller et al 22 Bushu et al 23 Gao et al 24 Sandmann et al 26 A clearly stated aim: the question addressed should be precise and relevant in the light of available literature Endpoints appropriate to the aim of the study: unambiguous explanation of the criteria used to evaluate the main outcome which should be in accordance with the question addressed by the study. Also, the endpoints should be assessed on an intention-to-treat basis.…”

Section: Introductionmentioning

confidence: 99%

“…Gao et al 24 reported the management of partial articular radial head fractures and reported mean flexion arc 139 degrees, pronation 86.5 degrees, and supination 87.4 degrees. The final three studies reported rates of a normal range of motion that ranged from 67% to 86%, with the commonest loss of motion being 10 to 30 degrees of extension 20,21,22 .…”

Section: Introductionmentioning

confidence: 99%

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The use of intramedullary devices for adult radial head and neck fractures. A systematic review

JORDAN,

REMTULLA,

JONES

et al. 2023

Acta Orthop Belg

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The management of isolated radial neck and head fractures is controversial. Plate fixation and tripod fixation are two commonly employed techniques but risk damage to soft tissues and implant-related complications. Intramedullary fixation is commonly used in pediatric cases and reduces the potential drawbacks of open fixation. This systematic review aimed to analyze outcomes of intramedullary fixation in adults in terms of function, union, and complication rates. A systematic review of the literature was conducted following the PRISMA guidelines using Medline and EMBASE’s online databases. The review was registered on the PROSPERO database. Studies were appraised using the Methodological Index for non-randomized studies (MINORS) tool. Seven studies were deemed eligible for inclusion (n=55). Mean ages of patients ranged from 31.3 to 44.2 years, and mean follow-up ranged from 9 to 86 months. The Mayo Elbow Performance score (MEPs) was reported in five case series (mean scores 81.8 -97.9) and the prevalence of excellent results ranged from 71% and 83%. Although 100% of fractures united, the pooled complication rate was 24% (range 0-50%). The most common complications were elbow stiffness (7%), superficial radial nerve neuropraxia (7%), malunion (5%), and AVN (1.8%). No study reported any patients requiring revision surgery. Intramedullary fixation for radial head and neck fractures appears to provide a reliable alternative treatment option in terms of union, range of motion, and functional outcomes. Further robust trials direct comparing against open fixation techniques are required.

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