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Completely displaced pediatric radial neck fracture treated by a combination of métaizeau method and percutaneous reduction with the blunt-end of a K-Wire: A case report and review of literature
Mohammad A. Ikram1, Abdul R. Ahmad2, Fazrina A. Sani2, Velummylum B. Premdas2
1 Department of Orthopaedic, International Medical University, IMU Clinical Campus Seremban, Seremban, Negeri Sembilan, Malaysia
2 Department of Orthopaedic, Hospital Tuanku Jaafar, Ministry of Health Malaysia, Seremban, Negeri Sembilan, Malaysia
Correspondence Address:
Mohammad A. Ikram,
Department of Orthopaedic, International Medical University, IMU Clinical Campus Seremban, 70300 Seremban, Negeri Sembilan
Malaysia
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmsr.jmsr_107_20
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Management of a completely displaced radial neck fracture is always challenging. A closed method is preferred as higher morbidity is reported in the literature pertaining to open reduction. Métaizeau's method with retrograde intramedullary pinning of the radius is a popular closed method and the current treatment of choice. In cases, where closed reduction is not achievable, the combination of percutaneous manipulation of the displaced radial head increases closed reduction probabilities. We are presenting two cases of a completely displaced fracture of the radial neck treated by a combination of the Métaizeau method and percutaneous push method using a blunt end of the K-wire, which provided anatomical reduction. Our results confirmed that the supplementation of the percutaneous maneuver is a good option when the Métaizeau method alone cannot achieve satisfactory reduction.
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