Displaced Radial Neck Fractures in the Paediatric Age Group Fixed with the Modified Metaizeau Technique: Experience of a Tertiary Care Hospital in Northern India

Abstract

Background Radial neck fractures in the pediatric population represent up to one percent of all pediatric fractures. Judet type III and IV radial neck fractures present difficulties in closed and open reduction. The Metaizeau technique has been used as a tool to reduce these. We present a case series of 17 patients with Judet III and IV type of radial neck fractures treated with a modified Metaizeau technique. Materials and Methods Seventeen patients, eight male and nine female with Judet type III and IV radial neck fractures over a two-year period were managed with modified Metaizeau technique as described in the text. The follow up period in our Prospective Interventional study was of six months The outcomes were scored using the Mayo elbow Performance score. Results Fourteen patients had excellent scores, and three had good scores. Union rate was 100%. Fourteen patients were managed with closed reduction using the modified Metaizeau technique. Three patients required additional Open reduction, out of which one had reduced ROM as an outcome at the end of six months. Conclusion The modified Metaizeau technique is an extra articular, easy to learn procedure with good to excellent results in Judet type III and IV radial neck fractures.

Closed Treatment of Displaced Fracture Neck of Radius in Children by Metaizeau Technique

“…Regarding complications, no complications were reported in our study. This comes in agreement with Kansay et al (30) who reported no complications. Also, Ursei et al (14) demonstrated that there was no instance of neurovascular deficit, heterotopic bone formation and radioulnar synostosis or infectious complications during their study.…”

“…Outcomes showed that 82% reported excellent and the remaining had good outcomes. Kansay et al (30) study had 76% excellent outcomes amongst seventeen patients. They reported no complications.…”

Comparison of Posterior and Anterolateral Surgical Approaches in Treating Adult Humeral Shaft Fractures

“…In a study by Prasarn et al, they stated that the posterior approach carries a risk of nerve damage because the plate must be placed under the radial nerve [24]. In many studies, radial nerve palsy was found to be more common in patients who underwent the posterior approach than in the patients who underwent the anterolateral approach [9,25]. In our study, although the rate of radial nerve palsy was higher in patients operated on with the posterior approach than in the patients who underwent the anterolateral approach, it was not significant.…”

“…The patients' Mayo elbow performance score was used, consisting of four components: Pain, Movement, Stability, and Function; the maximum possible score is 100. The Mayo elbow performance score is a reliable and valid tool for assessing elbow function [9].…”