Related Experiment Video

Updated: Jun 26, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

[Osteosynthesis in proximal forearm fractures in children]

Peter P Schmittenbecher1

  • 1Kinderchirurgische Klinik, Klinikum Karlsruhe, Karlsruhe, Germany. peter.schmittenbecher@klinikum-karlsruhe.de

Operative Orthopadie Und Traumatologie
|January 27, 2009
PubMed

Insights

Elastic stable intramedullary nailing (ESIN) effectively treats displaced proximal radial neck and ulnar fractures in children, achieving excellent functional outcomes without additional immobilization.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Traumatology

Background:

  • Displaced proximal radial neck and ulnar fractures require effective treatment to prevent long-term functional deficits.
  • Open reduction carries risks of circulatory disturbances and functional impairment.

Purpose of the Study:

  • To evaluate the efficacy of closed reduction and elastic stable intramedullary nailing (ESIN) for displaced proximal radial neck and ulnar fractures.
  • To assess the prevention of complications associated with open reduction.

Main Methods:

  • ESIN technique for proximal radial neck fractures with >45 degrees displacement (<10 years) or >20 degrees (>10 years).
  • ESIN for proximal extraarticular ulnar fractures with >10 degrees malalignment.
  • Management of combined injuries like Monteggia fractures.

Main Results:

  • Achieved 78-87% very good to good functional results.
  • ESIN provided a minimally invasive approach, avoiding complications of open reduction.

Conclusions:

  • ESIN is a safe and effective treatment for displaced proximal radial neck and ulnar fractures in pediatric patients.
  • Functional treatment without additional immobilization leads to favorable outcomes.
Abstract

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