The effectiveness of a modified Metaizeau technique in fixation of adult radial neck fractures: a prospective study with a modification of the Broberg-Morrey classification

Singh, Nagmani; Pandey, Chakra Raj; John, Rakesh; Singh, Rajesh; Tamang, Bhupal; Bhandari, Sandeep

doi:10.1016/j.jse.2017.09.035

Cited by 3 publications

(8 citation statements)

References 15 publications

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“…Therefore, our team takes advantage of treating young children with radial neck fractures through the US combined with elbow arthrography-assisted minimally invasive treatment for the first time. Using US amid surgery is available to clearly present the displacement direction and radial neck fracture degree and guide fracture reduction through dynamic monitoring and precise positioning, which can signally reduce X-ray radiation among doctors and patients, shorten the time of operation, and improve reduction probability via minimally invasive treatment [ 1 , 12 , 27 ]. At the same time, combining with modified Métaizeau technique is available to avoid complications occurrences like a deep branch of radial nerve injury and epiphyseal plate injury [ 13 ].…”

Section: Discussionmentioning

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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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%

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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“…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%

“…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%

See 2 more Smart Citations

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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Outcome of intramedullary pinning of isolated radial neck fractures in adulthood

Kaziz

Benzarti

Triki

et al. 2018

Journal of Shoulder and Elbow Surgery

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The effectiveness of a modified Metaizeau technique in fixation of adult radial neck fractures: a prospective study with a modification of the Broberg-Morrey classification

Cited by 3 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 use of intramedullary devices for adult radial head and neck fractures. A systematic review

Outcome of intramedullary pinning of isolated radial neck fractures in adulthood

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