Elastic Intramedullary Nailing for Displaced Fracture Neck of Radius in Children on Fluoroscopy by Metaizeau Technique: 03 Cases Report

Abstract

Background: Radial neck fractures in the pediatric population are a rare fracture that occur in about 1% of pediatric fractures. Judet type III and IV represent difficulties in closed and open reduction. The Metaizeau technique has been used as a solution due to its advantages. In this study, we reported 03 cases to evaluate the results of treatment using the Metaizeau technique for displaced radial neck fractures in children. Patients and methods: We analyzed the medical records of 03 patients with radial neck fractures who underwent surgery at the Department of Orthopedic Surgery and Sport Medicine – E Hospital. Patients were followed up postoperatively and received rehabilitation for 12 months. Results: Patients underwent surgery and were followed up for 12 months. They had no elbow pain, good functional, MEPS score ranging from good to excellent, and achieved an anatomical axis on radiography. Conclusion: We propose the Metaizeau technique on Fluoroscopy as an ideal approach for Judet type III and IV displaced radial neck fractures in children.

Keywords: Displaced fracture neck of radius, pediatric fracture, Metaizeau technique, elastic intramedullary nail.