Radiological and functional outcomes of modified Metaizeau technique in displaced radial neck fractures / Ökkes Bilal in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 235-241 Titre : Radiological and functional outcomes of modified Metaizeau technique in displaced radial neck fractures Type de document : texte imprimé Auteurs : Ökkes Bilal ; Ali Murat Kalender ; Burçin Karsli ; Volkan Kilinçoglu ; Mustafa Kinas ; Nuh Dünar Année de publication : 2021 Article en page(s) : p. 235-241 Note générale : https://doi.org/10.52628/87.2.05 Langues : Anglais (eng) Mots-clés : Radius neck fracture  children  closed reduction  displaced fracture  intramedullary nailing Résumé : The management of displaced radial neck fractures in children is still a controversial topic. The objective of this study is to examine the outcomes of modified Metaizeau technique in the children with displaced radius neck fractures. The retrospective study included 15 children with displaced radial neck fracture with an angulation of more than 30° who were managed with the use of leverage technique by mosquito clamps and internal fixation with elastic stable intramedullary nailing (ESIN). Radiological and functional assessments were performed during follow-up. Additionally, the patients were evaluated using Mayo Elbow Per- formance Score (MEPS). All the children could be managed with clamp-assisted closed reduction. The average duration of follow up was 25.5 ± 6.1 months (15-36 months). An excellent elbow function was achieved in all but one patient. Based on Metaizeau classification, excellent, good, fair, and poor outcomes were achieved in 11, 1, 2, and 1 patients, respectively. The average postoperative MEPS score was 98.7 ± 5.1 (80-100). Clamp-assisted closed reduction and fixation with ESIN is a good choice in the children with displaced radial neck fractures. This technique is associated with good functional and radiologic outcomes in the medium-term. Further studies are warranted with larger sample sizes. Permalink : ./index.php?lvl=notice_display&id=96625 [article] Radiological and functional outcomes of modified Metaizeau technique in displaced radial neck fractures [texte imprimé] / Ökkes Bilal ; Ali Murat Kalender ; Burçin Karsli ; Volkan Kilinçoglu ; Mustafa Kinas ; Nuh Dünar . - 2021 . - p. 235-241. https://doi.org/10.52628/87.2.05 Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 235-241 Mots-clés : Radius neck fracture  children  closed reduction  displaced fracture  intramedullary nailing Résumé : The management of displaced radial neck fractures in children is still a controversial topic. The objective of this study is to examine the outcomes of modified Metaizeau technique in the children with displaced radius neck fractures. The retrospective study included 15 children with displaced radial neck fracture with an angulation of more than 30° who were managed with the use of leverage technique by mosquito clamps and internal fixation with elastic stable intramedullary nailing (ESIN). Radiological and functional assessments were performed during follow-up. Additionally, the patients were evaluated using Mayo Elbow Per- formance Score (MEPS). All the children could be managed with clamp-assisted closed reduction. The average duration of follow up was 25.5 ± 6.1 months (15-36 months). An excellent elbow function was achieved in all but one patient. Based on Metaizeau classification, excellent, good, fair, and poor outcomes were achieved in 11, 1, 2, and 1 patients, respectively. The average postoperative MEPS score was 98.7 ± 5.1 (80-100). Clamp-assisted closed reduction and fixation with ESIN is a good choice in the children with displaced radial neck fractures. This technique is associated with good functional and radiologic outcomes in the medium-term. Further studies are warranted with larger sample sizes. Permalink : ./index.php?lvl=notice_display&id=96625

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