Management of Displaced Radial Neck Fractures with Closed Technique using Titanium Elastic Nail and Review of...

Injuries around the elbow are common in pediatric population. Amongst them, most common is fractures of the supracondylar part of humerus, followed by condylar fractures. Fractures of the neck of the radius account for five-ten percent of the total injuries. Various techniques for closed reduction of the fracture have been described in literature. Open reduction and fixation is indicated when closed reduction fails to provide satisfactory results and the angulation remains more than 45-60 degrees.

We present two cases of severely displaced radial neck fractures treated with closed reduction and intramedullary fixation using titanium elastic nails. The distal bent tip of the nail is used to maneuver the proximal rotated fragment and to reduce it back in its place.

It is an indirect closed reduction technique and associated with minimal intra and post-operative complications and gives encouraging results. It gives stable fixation and also prevents re-displacement after nail removal.