DOS BULLETIN - Dansk Ortopædisk Selskab

2010-378_DOS nr. 3 2010 29/09/10 10:08 Side 82
Radial neck fracture in children treated
with the Centromedullary ESIN technique
Zaid Al-Aubaidi, Niels Wisbech Pedersen, Keld Daugberg Nielsen
Odense University Hospital
Background: Radial neck fractures in children are a rare entity accounts
for only 1 % of all paediatric fractures. Different methods have been
developed for the purpose of reduction and fixation of this fracture.
Purpose: The aim of this retrospective study is to show the results of
Métaizeau technique, first described in 1980, for the centromedullary
reduction and fixation of this kind of fracture with the ESIN technique.
Methods: Our series comprises 19 children with dislocated forearm
fractures treated in our institution in the period 2004 to 2008. One
patient was excluded because of a very complicated fracture dislocation
of the elbow (exclusion criteria).Two patients refused to participate. We
evaluated the patients clinically and radiologicaly. For the clinical evaluation,
we used the Métaizeau´s classification. In the subjective evaluation,
the DASH score was used. The Steel´s classification was used for
the evaluation of the radiological results
Findings: We found good clinical and radiological outcome in accordance
to Métaizeau and Steel classifications. The mean DASH score was
3, 06.
Conclusion: Our results are comparable to other international studies.
This study confirms the Métaizeau technique as a very good treatment
option for this kind of fractures.
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