Percutaneous Reduction and Fixation Using Two K-wires In XXXX .

@entity1 @entity174
BACKGROUND: Fractures of the radial neck in @entity1 are usually seen at about the age of five years, after the appearance of the proximal radial epiphysis. They are usually caused by a fall on the outstretched hand which produces a valgus strain [1]. Minor degrees of angulation can be accepted and treated conservatively, but advice on the maximum acceptable angulation varies widely, up to as much as 45  0 [2] More severely angulated and displaced @entity174 have been variously treated by closed or open reduction, but the precise indications for each are not clear [3]. In a retrospective study Steele et al. found that open reduction generally had a poor result and that open reduction with internal fixation was even worse, as has been reported by others [4, 5]. METHODS: We describe a modified percutaneous technique using two (1.6  mm) K-wires for reduction (one wire for leverage and one wire for translation) and two K-wires for rotationally stable fixation. RESULTS: Nine @entity1 were included in the study. The median age of the @entity1 was 9.6  years. There were six males and three females. The average follow up period was 23  months. The final results of the study included six @entity1 with excellent results and one with a good result. Unfortunately, two @entity1 were visitors and failed to attend for review. CONCLUSION: We have found this technique effective and easily reproducible. Level of evidence IV - Case series.
