Reduction and osteosynthesis of radial neck fractures in children by centromedullary pinning.

Abstract

Radial neck fractures are infrequent but very difficult to treat and have many possible complications. Conservative treatment is unable to reduce severe displacements, resulting in malunion. Open reduction frequently leads to intraarticular calcification, avascular necrosis, and joint stiffness. In most cases, intramedullary nailing allows complete reduction without open joint and a very low complication rate. The pin is left in place, stabilizes the epiphysis, and prevents secondary displacement.