The treatment of radial neck fractures in children according to Métaizeau

Abstract

Treatment of displaced radial neck fractures is challenging. Between 1993 and 2006, we treated 63 children using the closed intramedullary pin reduction technique according to Métaizeau in our department. In a retrospective study, associated injuries and complications were evaluated. Eighty-six percent of the patients could be contacted for follow-up questioning. Thirty-nine percent had associated injuries. All Judet II, III and most of type IV fractures could be treated with the closed method. Ninety-eight percent showed an excellent or good result according to Morrey, 90% to Métaizeau score. The closed intramedullary pin reduction technique proved to be an innovative minimal invasive technique for displaced radial neck fractures by allowing anatomical reconstruction and stable treatment.