Percutaneous reduction of displaced radial neck fractures

Futami, Ioshiro; Tsukamoto, Yukio; Itoman, Moritoshi

doi:10.1016/s1058-2746(05)80046-1

Cited by 26 publications

(24 citation statements)

References 10 publications

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“…Non-invasive operative treatments using percutaneous reduction techniques have been reported widely and may be divided into three categories. The first method is reduction by the direct application of pressure to the proximal fragment using a periosteal elevator or Steinman pin and mini open reduction [10]. This method must be performed carefully due to the high risk of injury to the deep branch of the radial nerve.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Reduction and Fixation Using Two K-wires In Paediatric Angulated Radial Neck Fractures

Tanagho

Ansara

2016

J Hand Microsurg

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Background: Fractures of the radial neck in children are usually seen at about the age of five years, after the appearance of the proximal radial epiphysis. They are usually caused by a fall on the outstretched hand which produces a valgus strain [1]. Minor degrees of angulation can be accepted and treated conservatively, but advice on the maximum acceptable angulation varies widely, up to as much as 45°0 [2] More severely angulated and displaced fractures have been variously treated by closed or open reduction, but the precise indications for each are not clear [3]. In a retrospective study Steele et al. found that open reduction generally had a poor result and that open reduction with internal fixation was even worse, as has been reported by others [4,5]. Methods: We describe a modified percutaneous technique using two (1.6 mm) Kwires for reduction (one wire for leverage and one wire for translation) and two K-wires for rotationally stable fixation. Results: Nine patients were included in the study. The median age of the patients was 9.6 years. There were six males and three females. The average follow up period was 23 months. The final results of the study included six patients with excellent results and one with a good result. Unfortunately, two patients were visitors and failed to attend for review. Conclusion: We have found this technique effective and easily reproducible. Level of evidence IV -Case series.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Reduction and Fixation Using Two K-wires In Paediatric Angulated Radial Neck Fractures

Tanagho

Ansara

2016

J Hand Microsurg

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“…In general, however, the results appear to be similar to those achieved by CIMP, and better than with ORIF. Futami et al 5 and Biyani, Mehara and Bhan 22 described percutaneous reduction with subsequent percutaneous pinning of the head. Futami et al 5 reported excellent functional results in all ten patients, but four developed premature fusion of the epiphysis of the head.…”

Section: Discussionmentioning

confidence: 99%

“…Futami et al 5 and Biyani, Mehara and Bhan 22 described percutaneous reduction with subsequent percutaneous pinning of the head. Futami et al 5 reported excellent functional results in all ten patients, but four developed premature fusion of the epiphysis of the head. In the series of Biyani et al, 22 percutaneous reduction and pinning of grade-III and grade-IV fractures yielded excellent results in 43% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…The head of the radius and its blood supply can be damaged by the injury itself and by surgical manipulation such as in open reduction. [2][3][4][5][6][7][8][9][10][11] As a result, closed techniques using percutaneous Kirschner (K-) wires have been developed. 12,13 Satisfactory reduction may not be achieved consistently, and because the K-wires are removed immediately after, dislocation can recur.…”

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confidence: 99%

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Fractures of the neck of the radius in children

Stiefel

Meuli

Altermatt

2001

The Journal of Bone and Joint Surgery. British volume

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“…It was mostly recommended that fractures in children up to 10 years of age with an angulation of the radius neck of more than 30°s hould be treated with closed reduction or less invasive manipulations [6,14,22]. Since open reduction with internal fixation often proved to result in poor outcome [4,23], various techniques of semi-closed reduction were demonstrated in children.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Technique for Reduction and Stabilization of Radial Head and Radial Neck Fractures in Children

Walcher

Rose

Mutschler

et al. 2000

European Journal of Trauma

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Integrity of soft tissues plays a major role in the final outcome of fractures of the proximal radius. Numerous minimally invasive operative techniques were developed to avoid additional trauma during surgical procedure. An overview over the literature is given in the present paper.We report a modified technique of Kapandji for percutaneous reduction and stabilization of displaced radial neck and radial head fractures in children. Functional results in 5 cases were good, and the children had no complaints. In one case with a luxation of the elbow and a fracture of the lateral epicondyle of humerus persistent rotation deficit was observed.The modified percutaneous method described here demonstrates an alternative procedure to reduce and stabilize displaced radial head and radial neck fractures. In contrast to open reduction this method avoids impairment of the anular ligament and joint capsule. Associated complex injuries of the elbow with soft tissue trauma, however, may lead to unsatisfactory functional results despite minimal operative technique and anatomic reduction.

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Percutaneous reduction of displaced radial neck fractures

Cited by 26 publications

References 10 publications

Percutaneous Reduction and Fixation Using Two K-wires In Paediatric Angulated Radial Neck Fractures

Percutaneous Reduction and Fixation Using Two K-wires In Paediatric Angulated Radial Neck Fractures

Fractures of the neck of the radius in children

Minimally Invasive Technique for Reduction and Stabilization of Radial Head and Radial Neck Fractures in Children

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