Treatment of pediatric radial neck fractures with elastic intramedullary nail:a report of 16 patients / 中华创伤杂志

ABSTRACT

Objective To discuss the clinical effect of titanium elastic intrameduUary nail (TEIN)in treatment of pediatric radial neck fractures. Methods A total of 16 children with radial neck fractures were treated TEIN from February 2008 to February 2010.Long arm cast immobilization was used one week postoperatively and functional exercise was done after removal of the external fixation.Results All the patients were followed up for average 5.3 months (3.5-14.0 months),which showed the average period of bony union for 5.8 weeks(4-7 weeks).Except for one patient who aroused skin soft-tissue irritation symptoms at the nail end,no other complication was found.The range of motion of the elbow and forearm in injury side of all patients Was the same as the normal side. Conclusions The application of TEIN has advantages of minimal invasive lesion,nil effect on pheseal plate,good fracture union,rapid functional rehabilitation and little compliations and hence is one of ideal choices in treatment of pediatric radial neck fracture.