Tarak Chandra Halder1, Divyanshu Kumar2, Biplab Chatterjee3
BACKGROUND
Radial neck fractures in children are serious injuries with frequent sequelae when
the tilt exceeds 60 degrees. Conservative treatment is often inadequate in such
cases and open reduction may produce iatrogenic complications. Displaced radial
neck fractures in the paediatric population can be treated with retrograde
intramedullary nailing of the radius (the Metaizeau technique). This method allows
early post-operative movement and thus has high functional outcome. The
purpose of this case series was to evaluate the functional outcome of Metaizeau
technique.
METHODS
This is a prospective study in which follow-up of 9 cases with radial neck fracture
treated with Metaizeau technique was done. Clinical and radiological evaluation
was done at 2 weeks, 4 weeks, 6 weeks and 6 months. Active range of motion of
flexion and extension at elbow and forearm rotation was noted at 6 weeks along
with pain score and Mayo Elbow Performance Score (MEPS). Radiological
assessment was also done at 6 weeks regarding union.
RESULTS
8 out of 9 cases had radiological union at 6 weeks. 1 case was lost to follow-up.
Excellent result was obtained in all 8 cases. Range of flexion-extension, supinationpronation
were identical in all 8 cases. 1 case developed pressure bursitis at entry
site.
CONCLUSIONS
Metaizeau technique for radial neck fracture fixation is simple, safe, soft tissue
sparing, minimally invasive technique giving excellent functional and cosmetic
results with minimal complication.
