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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Study of Functional Outcome of Retrograde Elastic Intramedullary Nail Fixation in Isolated Radial Neck Fractures in Paediatric Age Group

Avi Shah, Janak Rathod, Nirav Moradiya and Dhruvam Desai
Page: 379-384 | Received 25 Sep 2024, Published online: 31 Dec 2024

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https://doi.org/10.36478/10.36478/makrjms.2025.1.379.384

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Abstract

Radial neck fractures in children are relatively rare injuries, accounting for 1‐5% of all paediatric fractures around elbow. Most of them being non‐displaced or slightly displaced can be treated conservatively. Severely displaced or angulated radial neck fractures (Judet type III and IV / O’Brien type III ) require surgical intervention. To study the clinical and radiological outcomes retrograde elastic intramedullary nail (ESIN) fixation done for isolated radial neck fractures in paediatric age group. There were 7 cases with displaced radial neck fracture( Judet type II, III and IV fractures O’Brien type II, III who underwent closed/open reduction and retrograde ESIN stabilization using K‐Wires/Rush Nail/TEN. Functional outcomes were evaluated based on of Mayo Elbow Performance (MEP) Score. All patients achieved complete radiographic healing at a mean of 6 weeks. The mean length of hospital stay was 3 days. Out of 7 patients, 5 patients had an excellent functional outcome and 2 had a good functional outcome. The lowest functional Score was seen in the patient having longest injury to surgery interval and the same patient had requirement to undergo open reduction for the procedure The use of retrograde ESIN fixation for treating radial neck fractures of paediatric age group shows very good functional and cosmetic results, allowing for rapid pain reduction and mobilization. It is a simple, minimally invasive and reproducible technique with a low complication rate. Owing to excellent results, surgical stabilization of radial head and neck fractures using retrograde ESIN fixation is recommended in children and adolescents.

How to cite this article:

Avi Shah, Janak Rathod, Nirav Moradiya and Dhruvam Desai. A Study of Functional Outcome of Retrograde Elastic Intramedullary Nail Fixation in Isolated Radial Neck Fractures in Paediatric Age Group.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.379.384
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.379.384