儿童桡骨颈骨折治疗.pptVIP

Open reduction controversial outcomes incidence of complication causes additional damage open reduction Fixation K-wires Elastic nailing Tecnique of elastic nailing Postoperative radiograph Case 1 A 6-year-old boy sustained a Judet type IV fracture of the radial neck. Follow-up radiograph after elastic nailing shows good reduction.The patient had an excellent outcome. Case 1 Follow-up radiograph shows fracture union and anatomic reduction.The patient showed an excellent clinical result and resumed full motion. Complication Infection elbow stiffness avascular necrosis premature physeal closure Advantage of ESIN minimally invasive technique stable fixation early mobilization anatomical reduction lower complication rate good-to-excellent results Case 2 10-year-old boy sustained a Judet type IV fracture of the radial neck. Postoperative radiograph shows anatomic reduction.The patient showed a minimal incision. Radial Neck Fracturesin Children Treated With ElasticStable Intramedullary Nailing Ningbo No. 6 hospital Caojin Anatomy Characteristic begins at four years and it fuses at the age of 14 in females and 17 in males. Ossification center Characteristic age 4～14years disease rate: 5% of elbow injuries or 1% of all injuries in chindren Mechanism Elbow in extension :more common type Elbow in flexed:rare type Classification Judet D Wilkins E Diagnosis history symptom physical sign radiograph Treatment controversy acceptable degrees 15°~45° the majority opinion 30° Reduction Closed reduction Percutaneous pin reduction Open recuction Closed reduction 30 ° ～60° ＞60° Percutaneous pin reduction Risk :radial nerve injury