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[Minimally invasive elastic intramedullary nailing for the treatment of radial neck fracture in children: a report of 18 cases].
Zhongguo Gu Shang. 2017 Oct 25;30(10):961-964
Authors: Xu Z, Hu MJ
Summary
OBJECTIVE: To analyze results of elastic steady intramedullary nails(ESIN) for the therapy of radial neck fracture in youngsters.
METHODS: From January 2014 to April 2017, 18 youngsters with radial neck fractures had been handled with minimally invasive inside fixation together with 6 males and 12 females with a mean age of eight.6 years previous starting from four to 15 years previous; 7 circumstances had been on the left, 11 circumstances on the appropriate. In response to Judet kind, 5 circumstances had been kind II, 9 circumstances had been kind III, 1 case was kind IVa, three circumstances had been kind IVb. Postoperative radial neck fracture therapeutic, elbow ache, deformity and vary of actions had been recorded.
RESULTS: All youngsters had been adopted up for three to 14 months with a mean of eight months. All fractures had been healed properly. There was 1 case of nail tail irritation, and the fracture healed and ache disappeared after elimination. Passable outcomes had been achieved in 1 case after discount and fixation, however a lateral and angulation shift in 20 levels was noticed after 2 days, whereas the elbow joint operate seen properly at 6 months. In response to Tibone-Stoltz scientific operate evaluation standards, the outcomes had been wonderful in 11 circumstances, good in 5 circumstances, truthful in 2 circumstances.
CONCLUSIONS: The operation of elastic intramedullary nail fixation for the therapy of radial neck fracture in youngsters is easy, dependable and minimally invasive, which may restore useful exercise and fewer complication as quickly as potential.
PMID: 29457421 [PubMed – in process]