Percutaneous reduction and intramedullary fixation technique for displaced pediatric radial neck fractures

This study investigated the outcome of displaced pediatric radial neck fractures treated by percutaneous leverage reduction and intramedullary fixation using Kirschner wires. Twenty-three patients with displaced radial neck fractures were treated following this technique. Adequate reduction was achieved in each patient. Twenty-one patients were followed up for 37 months on average. All fractures healed. Malunion occurred in three patients with an average residual angulation of 7.3 degrees. According to the MEPI, excellent outcome was achieved in 15 patients and good outcome in six. Therefore, this technique is an effective alternative for the treatment of pediatric radial neck fractures. J Pediatr Orthop B 22:127-132 (c) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.