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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 3, 358-361.
doi: 10.1302/0301-620X.88B3.17099  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Elastic stable intramedullary nail fixation for severely displaced fractures of the neck of the radius in children

K. R. Prathapkumar, FRCS, Specialist Registrar in Orthopaedics1; N. K. Garg, MS(Orth), MCh(Orth), Associate Specialist in Orthopaedics1; and C. E. Bruce, FRCS(Orth), Consultant Orthopaedic Surgeon1

1 Department of Orthopaedics, Royal Liverpool Childrens Hospital, Alderhey, Liverpool, UK.

Correspondence should be sent to Mr. K. R. Prathapkumar at 3 Balmoral Way, Prescot, Merseyside L34 1QB, UK; e-mail: pratkumar{at}hotmail.com

Several techniques are available for the treatment of displaced fractures of the neck of the radius in children. We report our experience in 14 children treated by indirect reduction and fixation using an elastic stable intramedullary nail. The patients were followed up for a mean of 28 months. One developed asymptomatic avascular necrosis. The rest had excellent results. One had a neuropraxia of the posterior interosseous nerve, which recovered within six weeks. We advocate elastic stable intramedullary nailing for the closed reduction and fixation of these fractures in children.


Figure 1
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  		Fig. 1 Surgical technique of elastic stable intramedullary nailing assisted reduction and fixation of severely displaced fracture of the neck of the radius.

 



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Elastic stable intramedullary nail fixation
Shashank D Chitgopkar
J Bone Joint Surg Br Online, 12 Apr 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General