EC Orthopaedics

Review Article Volume 14 Issue 8 - 2023

To Study Functional and Radiological Results of Percutaneous K Wire Aided Metaizeau Technique in the Treatment of Displaced Radial Neck Fractures in Children

SK Goyal*, Mayank Ganeshani and Akib Nisa

Department of Orthopaedics, S M.S. Medical College, Jaipur, India

*Corresponding Author: SK Goyal, Department of Orthopaedics, S M.S. Medical College, Jaipur, India.
Received: July 10, 2023; Published: July 13, 2023



Aim and Objectives: The purpose of this prospective study is to evaluate the efficiency and determine the radiological and functional results of closed reduction followed by fixation using percutaneous K-wire with the Metaizeau technique under fluoroscopic guidance.

Materials and Methods: This study was conducted at Department of Orthopaedics, SMS Medical College and Hospital, Jaipur. Selected patients were operated, nail was removed at 6 weeks and a follow up for 6 months was done post operatively. The patients functional results were evaluated.

Results: According to the Tibone-Stoltz functional evaluation classification, out of 22 patients 16 were evaluated as excellent (72.73%), 4 were evaluated as good (18.18%) and 2 were evaluated as fair (9.09%).

Conclusion: We considered that the closed K-wire aided Metaizeau technique can be used as an effective method in the treatment of Judet stage 3 and 4 displaced radial neck fractures in children.

Keywords: K-Wire; Metaizeau Technique; Tibone-Stoltz Functional Evaluation; Radial Neck Fractures; Children

  1. Eilert RE and Erickson MA. “Proximal radius and ulna fractures”. In: Beaty JH, Kasser JR, editions. Rockwood and Wilkins Fractures in Children. Lippincott Williams and Wilkins (2010): 443e490.
  2. Prathapkumar KR., et al. “Elastic stable intramedullary nail fixation for severely displaced fractures of the neck of the radius in children”. The Journal of Bone and Joint Surgery British3 (2006): 358-361.
  3. Emery KH., et al. “Pediatric elbow fractures: a new angle on an old topic”. Pediatric Radiology1 (2016): 61-66.
  4. Bernstein SM., et al. “Percutaneous reduction of displaced radial neck fractures in children”. Journal of Pediatric Orthopaedics B1 (1993): 85-88.
  5. Weinberg AM and Tscherne H. “Unfall chirurgie im Kindesalter”. Berlin, PA: Springer (2006).
  6. Eberl R., et al. “Intramedullary nailing for the treatment of dislocated pediatric radial neck fractures”. European Journal of Pediatric Surgery04 (2010): 250e252.
  7. Metaizeau JP., et al. “Reduction and fixation of displaced radial neck fractures by closed intramedullary pinning”. Journal of Pediatric Orthopaedics B3 (1993): 355-360.
  8. Song KS., et al. “Percutaneous leverage reduction for severely displaced radial neck fractures in children”. Journal of Pediatric Orthopaedics B4 (2015): e26-e30.
  9. Çevik N., et al. “Functional and radiological results of percutaneous K-wire aided Métaizeau technique in the treatment of displaced radial neck fractures in children”. Acta Orthopaedica et Traumatologica Turcica 6 (2018): 428-434.
  10. Trabelsi A., et al. “Radial neck fracture in children: anatomic and functional results of Metaizeau technique”. The Pan African Medical Journal 36 (2020): 144.
  11. Eberl R., et al. “Intramedullary nailing for the treatment of dislocated pediatric radial neck fractures”. European Journal of Pediatric Surgery4 (2010): 250-252.
  12. Fowles JV and Kassab MT. “Observations concerning radial neckfractures in children”. Journal of Pediatric Orthopaedics B 6 (1986): 51-57.
  13. Sandmann GH., et al. “Reduction and stabilisation of radial neck fractures by intramedullary pinning: a technique not only for children”. European Journal of Medical Research 15 (2016): 2-6.
  14. Yallapragada RK and Maripuri SN. “Radial neck fractures in children: A surgical tip using the metaizeau technique to improve the stability of the reduction”. Journal of Orthopaedics 17 (2019): 127-133.
  15. Yilmaz M., et al. “Métaizeau Closed Reduction Technique and Open Reduction Technique for the Surgical Treatment of Pediatric Radial Neck Fractures”. Journal of College of Physicians and Surgeons Pakistan05 (2022): 613-617.

SK Goyal., et al. To Study Functional and Radiological Results of Percutaneous K Wire Aided Metaizeau Technique in the Treatment of Displaced Radial Neck Fractures in Children. EC Orthopaedics 14.8 (2023): 01-06.