Minimally invasive surgery for radial neck fractures using bone paste

Area of Science:

• Orthopedic Surgery
• Traumatology
• Biomaterials Science

Background:

• Radial neck fractures are common injuries impacting elbow function.
• Traditional surgical interventions may involve significant soft tissue disruption.
• A minimally invasive approach using bone paste offers a potential alternative for select fracture patterns.

Observation:

• The study evaluated 13 patients with radial neck fractures where continuity with the radius shaft was maintained.
• A minimally invasive technique utilizing bone paste was employed for fracture fixation.
• Patient outcomes were assessed based on elbow range of motion, pain, and scar visibility.

Findings:

• Excellent elbow range of motion was achieved, averaging 90° supination, 92° pronation, +5° extension, and 141° flexion.
• Fracture reduction was maintained throughout the healing process until bone union.
• All patients reported no pain post-surgery, and surgical scars were unnoticeable.

Implications:

• This bone paste technique is a viable and effective treatment for specific radial neck fractures.
• The minimally invasive nature leads to favorable functional outcomes and high patient satisfaction.
• Further research could explore long-term outcomes and broader applications of this technique in fracture management.