Acta Ortopédica Brasileira · 2016 · 11 citations · 13 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryElbow SurgeryPediatric OrthopaedicsPediatric Orthopedic SurgeryElbow FracturesInternal FixationPediatric Orthopedic TraumaRadial Head Fracture SurgeryDisplacementFunctional Outcome EvaluationFunctional Outcome MeasurementPediatric Elbow Fracture FixationRadial Neck FracturesRetrospective Case Study
OBJECTIVE: : To evaluate the results of displaced radial neck fractures in children trated surgically with flexible titanium intramedullary nails. METHOD: : This is a retrospective study of five cases of radial neck fractures with displacement greater than 30° fixed with flexible intramedullary nails. Patients were evaluated regarding functional outcome through range of motion and the Mayo Elbow Performance Score (MEPS), as well as radiographic exams. RESULTS: : Five patients, with a mean age of 8.4 years were assessed, during a mean post-operative follow up of 12.2 months. Open reduction was necessary in three cases with major displacement. At the end of the follow up, 80% of the patients had excellent results, 20% good results, and all fractures healed. As complications we observed: heterotopic ossification, superficial infection and radial head necrosis. CONCLUSIONS: : In spite of the small sample, our results with flexible titanium intramedullary nails were similar to the current literature, with good functional outcomes. Level of Evidence III, Retrospective Study.
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