EVALUATION OF CHILDREN WITH RADIAL NECK FRACTURES TREATED WITH FLEXIBLE INTRAMEDULLARY NAIL

• Autor(a) principal: Gagliardi,Isabella da Costa
• Data de Publicação: 2016
• Outros Autores: Mouraria,Guilherme Grisi, Funayama,Bruno, Kikuta,Fernando Kenji, Cruz,Márcio Alves, Zoppi Filho,Américo
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Acta Ortopédica Brasileira (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000200081
• topic: Fractures, bone; Radius fractures; Child; Fracture fixation, intramedullary

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.