Surgical management of displaced fractures of the neck of the radius in children: open reduction and temporary internal fixation in whom closed reduction has failed: A prospective study
Journal Title: Scholars Academic Journal of Biosciences - Year 2017, Vol 5, Issue 5
Abstract
Pediatric radial neck fractures account for 5 to 10% of all elbow fractures. The treatment of radial neck fractures in children varies according to the displacement, angulation, and skeletal maturity. Open reduction is advocated for comminuted fractures and cases where closed reduction has failed. Thus open reduction and temporary internal fixation of pediatric radial neck fractures have to be chosen selectively for apt indications.This study includes 22 children with fractures of the radial neck who were treated at SBMCH, Chromepet between January 2010 and December 2015. Fractures were classified according to the classification system described by Judet et al. The patients are evaluated using MEPS score and radiographs at 8-12 weeks and at 6 months. The patients were followed 12 - 60 months [mean of 24 months].According to MEPS score 7 [31.81%] had excellent results, 7[31.81%] had good outcomes and 8[36.38%] had fair to poor outcomes. Post op neck angle was excellent to good in 14 [63.64%] and fair to poor in 8[36.37%] patients. Our study established that contrary to other literature, that good results can be obtained in carefully selected cases with gentle manipulative surgery. Younger the age group and earlier the case taken up for surgery better are the functional outcome.
Authors and Affiliations
Dr. Balaji. B, Dr. K. Venkatachalam, Dr. Hitesh Bhandari
Keywords
Related Articles
- EP ID EP397965
- DOI -
- Views 71
- Downloads 0
Biodiversity comparison of natural Shorea robusta mixed forest with Eucalyptus camaldulensis plantation in Nepal
Maintaining biodiversity is of great importance for achieving goal of sustainable development. Nepal has long been doing plantations and manages natural forests to conserve and maintain its biodiversity, but the status o...
The Role Pollution in Coastal Area to Effects on Quality of essential trace elements (Copper, Zinc, Selenium) and pH Levels of Ground Water of Nellore District, Andhra Pradesh, India
The Groundwater quality in the coastal of Nellore district, Andhra Pradesh, India, has been studied from August 2013 to December 2013 because the industrialization of the city has resulted in environmental pollution. The...
Predominant Flora of Udayagiri Hills - Eastern Ghats, Andhra Pradesh, India.
Abstract: During the survey and documentation of Plant wealth of Udayagiri Hills, Southern most part of Eastern Ghats, Nellore District, Andhra Pradesh, India, it was recorded that among Dicotyledons, the predominant f...
Effect of Chloropyrifos and Malathion on Stress and Osmolyte Parameters in Tomato and Brinjal
With the ever- increasing population and escalating demand for food, scientists are toiling hard to enhance the production level through the introduction of new high yielding cultivars, effective cultural practices and a...
Principal Component Analysis towards viability of Cicer arietinumseeds using electric field under laboratory condition
Abstract:The impact of power lines on the crops are well established from different observations over the globe. In this work we have carried out an experiment in laboratory to observe the influence of electric field on...