Treatment of Idiopathic Osteonecrosis of the Femoral Head by Free Vascularized Peroneal Graft

Judet, H; Judet, J; Gilbert, A

doi:10.1007/978-3-642-83571-1_56

Cited by 4 publications

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“…Commonly utilized Judet classification has been instrumental in planning the treatment. 6 (►Table 1). Judet III and Judet IV are not considered amenable to closed reduction.…”

Section: Abstract ► Metaizeau Technique ► Radial Neck ► Judet Classif...mentioning

confidence: 99%

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

Kansay

Kothari

Soni

et al. 2021

International Journal of Recent Surgical and Medical Sciences

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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.

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“…Commonly utilized Judet classification has been instrumental in planning the treatment. 6 (►Table 1). Judet III and Judet IV are not considered amenable to closed reduction.…”

Section: Abstract ► Metaizeau Technique ► Radial Neck ► Judet Classif...mentioning

confidence: 99%

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

Kansay

Kothari

Soni

et al. 2021

International Journal of Recent Surgical and Medical Sciences

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“…A total of 62 patients with complete clinical data were included in the study, with a median age of 7.5 (interquartile range (IQR): 5.8-9.5) years, 34 males and 28 females. The preoperative fracture pattern was assessed according to the Judet classification system, 2 and the patients were divided into a K-W treatment group and an ESIN treatment group depending on the implanted materials and fixation strategy. Specifically, the K-W treatment group had 37 patients, with 13 closed reduction and 24 open reduction, while the ESIN treatment group had 25 patients, with 21 closed reduction and 4 open reduction.…”

Section: Methodsmentioning

confidence: 99%

Comparison of elastic stable intramedullary nailing versus Kirschner wires in treatment of pediatric radial neck fractures

Tian,

Cao,

Pei

et al. 2024

Journal of Children's Orthopaedics

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Purpose: The aim of the study was to compare the different internal fixations between elastic stable intramedullary nailing and Kirschner wires in treatment of angulated radial neck fractures. Methods: We retrospectively reviewed the patients with radial neck fracture without associated injuries who underwent surgery approach in our department during April 2011–March 2020. There were 62 patients meeting all the criteria with complete clinical data, with median age of 7.5 (IQR 5.8–9.5) years, 34 males and 28 females. The preoperative fracture pattern was assessed according to the Judet classification system. Depending on the materials implanted and fixation strategy, the patients could be divided into a Kirschner wire group and an elastic stable intramedullary nailing group. Final functional outcomes of patients were assessed by the Mayo Elbow Performance Score and Tibone–Stoltz functional evaluation classification. Results: The Kirschner wire group included 37 patients, with 4.8 years median follow-up. The elastic stable intramedullary nailing group included 25 patients with 5.9 years median follow-up. There were no significant differences in gender, age, Judet classification, average operative time, Mayo Elbow Performance Score, Tibone–Stoltz classification, or length of hospital stay between groups. However, the time to union in the Kirschner wire group was significantly shorter than that in the elastic stable intramedullary nailing group (p < 0.05). Both groups achieved satisfactory functional and cosmetic results. Conclusion: In the management of pediatric radial neck fractures, both elastic stable intramedullary nailing and Kirschner wire internal fixation have shown equivalent therapeutic results, leading to satisfactory functional outcomes. The selection of the internal fixation approach can be influenced by the patient’s fracture characteristics and the surgeon’s preferences. Level of evidence: Level III; Retrospective Comparison; Treatment Study.

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“…The traumatic mechanism was falling in six patients (50%), falling during sport in four patients (33.3%), and falling from a height in two patients (16.7%). The time from injury to surgical treatment was 3.8 ± 3.4 days (range, [1][2][3][4][5][6][7][8][9][10][11][12].…”

Section: Methodsmentioning

confidence: 99%

“…The RN fractures were classified according to the system described by Judet et al 11 : type I, no displacement; type II, <30° angulation and <50% displacement; type III, 30°-60° angulation and <100% displacement; and type IV, 60°-90° angulation and >100% displacement. There were three cases of type I (25%), four cases of type II (33.3%), and five cases of type III RN fractures (41.7%).…”

Section: Methodsmentioning

confidence: 99%

Diagnosis and treatment of “medial to lateral diagonal injury of the elbow” in children: Concomitant medial epicondylar and radial neck fractures

Canavese

Xia

et al. 2023

Journal of Children's Orthopaedics

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Purpose: The simultaneous and ipsilateral occurrence of medial epicondylar and radial neck fractures is rare. This study evaluated the clinical and radiological outcomes of medial to lateral diagonal injury of the elbow (MELAINE). Methods: Six males and 6 females were diagnosed with MELAINE (left: 10, 83.3%; right: 2, 16.7%). Medial epicondylar and radial neck fractures were classified according to Papavasiliou’s classification (seven type II, two type III, three type IV) and Judet’s classification (three type I, four type II and five type III), respectively. All patients underwent surgery. The carrying angle, range of motion, and Kim et al. Elbow Performance Score were used to evaluate clinical and functional outcomes; related complications were recorded. Results: Mean age at injury and mean follow-up were 11.1 ± 2.5 (range, 6–14) and 40 ± 25.6 months (range, 13–90), respectively. All fractures consolidated in 6.3 ± 1.2 weeks on average (4–9). Outcomes were good (n = 1; 8.3%) to excellent (n = 11; 91.7%). The carrying angle of the injured and uninjured side was 15.5°± 2.6° and 14.7°± 2°, respectively (p = 0.218). The range of motion of elbow flexion-extension and forearm pronation-supination of the injured side was 144.2°± 10.4°, 4.6°± 5.4°, 76.7°± 9.1°, 80.4°± 9.2°, respectively, with no significant differences from the healthy side (p > 0.05). The Elbow Performance Score of the injured and uninjured side was 96.3 ± 5.3 and 98.8 ± 2.3, respectively (p = 0.139). No cases of infection, cubitus valgus, stiffness, or instability were recorded. Conclusion: Although uncommon, MELAINE should not be neglected. Surgery aims to stabilize the elbow and avoid valgus deformity. If diagnosed and treated, clinical and radiological results are excellent in most cases.

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Treatment of Idiopathic Osteonecrosis of the Femoral Head by Free Vascularized Peroneal Graft

Cited by 4 publications

References 0 publications

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

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

Comparison of elastic stable intramedullary nailing versus Kirschner wires in treatment of pediatric radial neck fractures

Diagnosis and treatment of “medial to lateral diagonal injury of the elbow” in children: Concomitant medial epicondylar and radial neck fractures

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