Percutaneous leverage reduction with two Kirschner wires combined with the Métaizeau technique versus open reduction plus internal fixation with a single Kirschner-wire for treating Judet IV radial neck fractures in children
| Title: | Percutaneous leverage reduction with two Kirschner wires combined with the Métaizeau technique versus open reduction plus internal fixation with a single Kirschner-wire for treating Judet IV radial neck fractures in children |
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| Authors: | Xiangping Du, Lirong Yu, Zhigang Xiong, Gan Chen, Jun Zou, Xinle Wu, Bin Xiong, Baoli Wang |
| Source: | Journal of International Medical Research, Vol 47 (2019) |
| Publisher Information: | SAGE Publishing, 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | Medicine (General), R5-920 |
| More Details: | Objective To compare the clinical effectiveness of a novel approach, percutaneous leverage reduction using two Kirschner-wires (k-wires) combined with the Métaizeau technique, versus open reduction plus internal fixation with k-wire for the treatment of Judet IV radial neck fractures in children. Methods Thirty-four patients with Judet IV radial neck fractures were treated either with percutaneous leverage reduction using two k-wires and the Métaizeau technique (n = 16) or open reduction plus internal fixation with k-wire (n = 18). Patient data including sex, age, time from trauma to surgery, fracture type, follow up, postoperative healing time, X-ray studies, elbow function, and complications were collected. Results There were no significant differences in patient characteristics between the two treatment groups. In postoperative elbow function assessment, 93.8% of patients in the group that underwent the novel treatment approach had a score of excellent or good, compared with 83.3% of patients in the open reduction and internal fixation with k-wire group. Furthermore, no postoperative complications were reported in patients in the novel treatment group, compared with 5 patients in the open reduction and internal fixation with k-wire group. All patients in both groups were classified as excellent or good according to Métaizeau criteria in postoperative X-ray assessment. Conclusions Compared with the open reduction and internal fixation with k-wire approach, percutaneous leverage reduction using two k-wires combined with the Métaizeau technique can significantly increase the minimally invasive reduction rate, and represents an attractive strategy for the treatment of Judet IV radial neck fractures in children. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0300-0605 1473-2300 03000605 |
| Relation: | https://doaj.org/toc/0300-0605; https://doaj.org/toc/1473-2300 |
| DOI: | 10.1177/0300060519825990 |
| Access URL: | https://doaj.org/article/031e8f53280d4bc2a2d07fa51ef873cf |
| Accession Number: | edsdoj.031e8f53280d4bc2a2d07fa51ef873cf |
| Database: | Directory of Open Access Journals |
| ISSN: | 03000605 14732300 |
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| DOI: | 10.1177/0300060519825990 |
| Published in: | Journal of International Medical Research |
| Language: | English |