Department of Orthopedics and Traumatology, Haseki Training and Research Hospital, Istanbul, Turkey.
J Coll Physicians Surg Pak. 2022 May;32(5):613-617. doi: 10.29271/jcpsp.2022.05.613.
To compare the functional outcomes of pediatric radial neck fractures treated with percutaneous reduction using Kirschner (K) wire with the Métaizeau technique, and that with open reduction plus internal fixation with K-wire.
Comparative descriptive study.
Haseki Training and Research Hospital Orthopedics and Traumatology Department, from December 2007 to December 2018.
Children aged under 15 years, with radial neck fractures were inducted. The injury was classified according to Judet classification and the type IV was treated with either of the above technique. The inclusion criteria were a diagnosis of Judet type IV radial neck fracture and a minimum follow-up of 12 months. Exclusion criteria were patients with concomitant elbow fracture, follow-up for <12 months, failure to complete the Mayo Elbow Performance Score (MEPS) functional assessment, patients with missing data. Radiological results were evaluated in accordance with the Ursei Classification. MEPS was used to assess functional development.
Forty-seven children (25 boys and 22 girls) aged (5-14 years with mean age of 8.57 ± 2.3 years were inducted. The surgical approach was the Métaizeau technique in 22 patients and open reduction technique in 25 patients. MEPS in the Métaizeau technique group was 95.2, with excellent results in 15 patients (68%), good results in 7 (31%), and fair or poor results in none of the patients. The mean MEPS in the open reduction / K-wire group was 88, with excellent, good, fair, and poor results in 9 (36%), 12 (48%), 4 (16%), and none of the patients, respectively.
Closed reduction using the Métaizeau technique with the elastic stable intramedullary nailing method satisfies all the criteria for minimally invasive bone surgery. This approach was forward to be considerably efficient, with excellent functional and esthetic outcomes and a low rate of complications if the indications and biomechanical principles are considered.
Radial neck, Métaizeau technique, Judet classification.
比较经皮克氏（K）线复位治疗小儿桡骨颈骨折与梅塔泽（Métaizeau）技术、切开复位克氏（K）线内固定治疗的功能结果。
比较描述性研究。
2007 年 12 月至 2018 年 12 月，哈塞基培训和研究医院骨科和创伤科。
纳入年龄在 15 岁以下、桡骨颈骨折的儿童。根据 Judet 分类对损伤进行分类，IV 型采用上述任何一种技术治疗。纳入标准为诊断为 Judet 型 IV 桡骨颈骨折，随访时间至少 12 个月。排除标准为伴有肘骨折、随访时间<12 个月、未能完成 Mayo 肘功能评分（MEPS）功能评估、数据缺失的患者。根据 Ursei 分类评估影像学结果。MEPS 用于评估功能发育。
47 名儿童（25 名男孩和 22 名女孩）年龄（5-14 岁，平均 8.57 ± 2.3 岁），22 名患者采用梅塔泽（Métaizeau）技术，25 名患者采用切开复位技术。Métaizeau 技术组的 MEPS 为 95.2，15 例（68%）结果为优，7 例（31%）为良，无差或差。切开复位/K 线组的平均 MEPS 为 88，优、良、可、差分别为 9 例（36%）、12 例（48%）、4 例（16%）、0 例。
采用弹性稳定髓内钉法的梅塔泽（Métaizeau）技术闭合复位符合微创骨外科的所有标准。如果考虑适应证和生物力学原则，这种方法具有很高的效率，功能和美容效果极佳，并发症发生率低。
桡骨颈、梅塔泽（Métaizeau）技术、Judet 分类。
