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Closed reduction and intramedullary pinning in the treatment of adult radial neck fractures: a case report.

Serbest S, Gürger M, Tosun HB, Karakurt L - Pan Afr Med J (2015)

Bottom Line: Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times.The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients.As this case report is single case of this method applied to an adult, we decided to present this case.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

ABSTRACT
Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times. The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients. We applied Metaizeau technique to an adult radial neck fracture and we have achieved satisfactory results. As this case report is single case of this method applied to an adult, we decided to present this case.

No MeSH data available.


Related in: MedlinePlus

AP and lateral projections of elbow 1 year after the fracture
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Figure 0004: AP and lateral projections of elbow 1 year after the fracture

Mentions: K-wire was advanced into the proximal metaphyseal-diaphyseal region. Meantime joystick K-wire that was inserted to radial head in the transverse plane was removed. K-wire was advanced upwards, attached to metaphyseal residues of radial head and the wire was rotated 180° untilreduction was achieved. Mean while, the radial head was checked not to be drilled and cause chondral damage. Thus radial head at the end of the wire was allowed to return to the interior by being dragged. K-wire was stopped by lateral humeral condyle, which serves as a tampon, while advancing toward radial head. In this way, excessive correction was prevented. As the patient was adult, a second intramedullary 1.8-mm K-wire was inserted to achieve a more stable fixation (Figure 3). Above elbow circular cast was applied for two weeks to complete elbow recovery. Then active movements were started. No strenuous exercise was given to patients. Radiological control was performed at intervals of three weeks. Bone healing could be visualized radiographically at third month. Intramedullary pin was removed from the patient under local anesthesia in the outpatient clinic after 4 weeks (Figure 4). Range of motion of the elbowjoint was 145 degrees for flexion, 90 degrees for supination and 90 degrees for pronation. Elbow joint was pain-free (Figure 5).


Closed reduction and intramedullary pinning in the treatment of adult radial neck fractures: a case report.

Serbest S, Gürger M, Tosun HB, Karakurt L - Pan Afr Med J (2015)

AP and lateral projections of elbow 1 year after the fracture
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537891&req=5

Figure 0004: AP and lateral projections of elbow 1 year after the fracture
Mentions: K-wire was advanced into the proximal metaphyseal-diaphyseal region. Meantime joystick K-wire that was inserted to radial head in the transverse plane was removed. K-wire was advanced upwards, attached to metaphyseal residues of radial head and the wire was rotated 180° untilreduction was achieved. Mean while, the radial head was checked not to be drilled and cause chondral damage. Thus radial head at the end of the wire was allowed to return to the interior by being dragged. K-wire was stopped by lateral humeral condyle, which serves as a tampon, while advancing toward radial head. In this way, excessive correction was prevented. As the patient was adult, a second intramedullary 1.8-mm K-wire was inserted to achieve a more stable fixation (Figure 3). Above elbow circular cast was applied for two weeks to complete elbow recovery. Then active movements were started. No strenuous exercise was given to patients. Radiological control was performed at intervals of three weeks. Bone healing could be visualized radiographically at third month. Intramedullary pin was removed from the patient under local anesthesia in the outpatient clinic after 4 weeks (Figure 4). Range of motion of the elbowjoint was 145 degrees for flexion, 90 degrees for supination and 90 degrees for pronation. Elbow joint was pain-free (Figure 5).

Bottom Line: Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times.The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients.As this case report is single case of this method applied to an adult, we decided to present this case.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

ABSTRACT
Closed reduction and intramedullary pinning (CIMP) in pediatric radial neck fractureswas first reported by Metaizeau in 1980 andsatisfactory results have been published several times. The current literature did not encounter any publication related to the implementation of Metaizeau method to adult patients. We applied Metaizeau technique to an adult radial neck fracture and we have achieved satisfactory results. As this case report is single case of this method applied to an adult, we decided to present this case.

No MeSH data available.


Related in: MedlinePlus