Child Clinical Trial
Official title:
Absorbable Rods and Kirschner Wires for the Treatment of Displaced Radial Neck Combined With Olecranon Fractures in Children
This study aimed to evaluate the outcomes of using absorbable rods and Kirschner Wires technique for severe displaced radial neck fractures combined with olecranon fractures in children.
The most common fracture in children is the elbow fracture, and the three most common elbow
fractures are supracondylar, lateral condylar, and medial epicondylar fractures. Elbow
fractures are easy to diagnose and the treatment modalities are studied often. However,
proximal radius fractures, which include radial neck and head fractures, remain challenging
to diagnose and manage. In addition, proximal radius fractures are often combined with other
fractures, most commonly, an olecranon fracture. Most radial neck fractures can be treated
conservatively if the displacement is less than 3 mm and the angle is less than 30º. However,
for severe Judet type III and type IV radial neck fractures, surgery is inevitable.
This study focused on radial neck fractures combined with an olecranon fracture. In this
study, absorbable rods were used for fixation of radial head fractures, and with no need for
removal of the inner fixation, we performed anatomy reduction via the same incision with
direct vision of the olecranon, and we were able to fix the fractures with Kirschner wires
(K-wires). In this retrospective study, we aimed to evaluate a treatment method for severe
displaced radial neck combined with olecranon fractures in children using a Boyd incision,
absorbable rods, and K-wires.
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