Artigo Acesso aberto Produção Nacional

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

2016; Brazilian Society of Orthopedics and Traumatology; Volume: 24; Issue: 2 Linguagem: Inglês

10.1590/1413-785220162402154788

ISSN

2176-7521

Autores

Isabella da Costa Gagliardi, Guilherme Grisi Mouraria, Bruno Schiavoni Funayama, Fernando Kenji Kikuta, Márcio Alves Cruz, Américo Zoppi Filho,

Tópico(s)

Shoulder and Clavicle Injuries

Resumo

: To evaluate the results of displaced radial neck fractures in children trated surgically with flexible titanium intramedullary nails.: 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.: 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.: 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.

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