EVALUATION OF CHILDREN WITH RADIAL NECK FRACTURES TREATED WITH FLEXIBLE INTRAMEDULLARY NAIL
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Isabella da Costa Gagliardi1, Guilherme Grisi Mouraria1, Bruno Funayama1
1. Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil.
Objective:
: To evaluate the results of displaced radial neck fractures in children trated surgically with flexible titanium intramedullary nails.
Method:
: 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.
Results:
: 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.
Conclusions:
: 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.
