Treatment of Displaced Fracture Neck Radius in Children by Closed Reduction Using K-Wire and Percutaneous Intramedullary Pinning
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Introduction: In this study, a novel method involving closed reduction by K-wire and percutaneous intramedullary pinning for the treatment of displaced/markedly angulated fracture neck radius in children has been done. The management of such injuries has been a widely debated topic and even now it remains a controversial topic. The general notion is that, for fractures with angulation of less than 30o a conservative approach should be used whereas in the case of fractures with angulation of more than 30o or a translation of more than 50%, a more aggressive approach should be used. We have described the relevance of this method, as a viable alternative to the existing methods. Method: The method used to treat the fracture of the neck radius is a new technique which uses the principles of two already established methods for the treatment of angulated fracture of neck radius, the percutaneous reduction by K-wire and the fixation by percutaneous intramedullary pinning with K-wire. We present a retrospective study conducted between 2004 to 2014 involving 15 patients of severely displaced fracture neck radius in children. Result: The results were evaluated based on a number of parameters, namely, pain, range of motion and disability. According to these parameters, the patients were assessed and graded as excellent, good, fair and poor. Out of 15 patients studied, 10 had excellent results, 4 good and 1 patient had a fair result. Conclusion: We believe, this method has a good success rate and also overcomes a number of uncertainties which exist with currently prevalent methods. A significant advantage with our method is that it has a very low complication rate. In our study, none of the cases had complications such as synostosis, heterotrophic calcification, nerve injury or osteonecrosis of radial head. In addition to that, there was no secondary loss of reduction.
Authors and Affiliations
Niraj Jain, Anurag Kulshrestha
Keywords
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