Corrective Osteotomy and Physeal Bar Resection for Distal Radial Physeal Arrest After Flexible Nailing

Abstract

Case: A 9-year-old girl developed a physeal bar after flexible nailing for a proximal radius fracture. The patient presented 2 years after initial injury with gross deformity of the wrist with confirmed physeal bar. The patient underwent physeal bar resection, cement interposition, and corrective osteotomy with improvement of radial height, wrist deformity, and function. Conclusion: This case illustrates the importance of meticulous flexible nail insertion technique and the subsequent, successful treatment for the complication.