Displaced Radial Neck Fractures in the Paediatric Age Group Fixed with the Modified Metaizeau Technique: Experience of a Tertiary Care Hospital in Northern India

Abstract

Abstract Background Radial neck fractures in the pediatric population represent up to one percent of all pediatric fractures. Judet type III and IV radial neck fractures present difficulties in closed and open reduction. The Metaizeau technique has been used as a tool to reduce these. We present a case series of 17 patients with Judet III and IV type of radial neck fractures treated with a modified Metaizeau technique. Materials and Methods Seventeen patients, eight male and nine female with Judet type III and IV radial neck fractures over a two-year period were managed with modified Metaizeau technique as described in the text. The follow up period in our Prospective Interventional study was of six months The outcomes were scored using the Mayo elbow Performance score. Results Fourteen patients had excellent scores, and three had good scores. Union rate was 100%. Fourteen patients were managed with closed reduction using the modified Metaizeau technique. Three patients required additional Open reduction, out of which one had reduced ROM as an outcome at the end of six months. Conclusion The modified Metaizeau technique is an extra articular, easy to learn procedure with good to excellent results in Judet type III and IV radial neck fractures.