EVALUATION OF CHILDREN WITH RADIAL NECK FRACTURES TREATED WITH FLEXIBLE INTRAMEDULLARY NAIL.

Autor:	Gagliardi Ida C; Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil., Mouraria GG; Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil., Funayama B; Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil., Kikuta FK; Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil., Cruz MA; Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil., Zoppi A; Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Department of Orthopedics and Traumatology. Campinas, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2016 Mar-Apr; Vol. 24 (2), pp. 81-4.
DOI:	10.1590/1413-785220162402154788
Abstrakt:	Objective: : To evaluate the results of displaced radial neck fractures in children trated surgically with flexible titanium intramedullary nails. Method: : This is a retrospective study of five cases of radial neck fractures with displacement greater than 30° fixed with flexible intramedullary nails. Patients were evaluated regarding functional outcome through range of motion and the Mayo Elbow Performance Score (MEPS), as well as radiographic exams. Results: : Five patients, with a mean age of 8.4 years were assessed, during a mean post-operative follow up of 12.2 months. Open reduction was necessary in three cases with major displacement. At the end of the follow up, 80% of the patients had excellent results, 20% good results, and all fractures healed. As complications we observed: heterotopic ossification, superficial infection and radial head necrosis. Conclusions: : In spite of the small sample, our results with flexible titanium intramedullary nails were similar to the current literature, with good functional outcomes. Level of Evidence III, Retrospective Study.
Databáze:	MEDLINE
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