Displaced fractures of the head and neck of the radius in children: open

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reduction and temporary transarticular internal fixation. [Review] Rodriguez Merchan EC. Orthopedics. 14(6):697-700, 1991 Jun. This report reviews the results of 36 children surgically treated for fractures of the head and neck of the radius. Indications for operation were: displacement over 2 mm and/or angulation over 45 degrees. Treatment included open reduction and temporary internal fixation with a K-wire transfixing the joint. Eighteen children had a good result, 8 had a fair result, and 10 had a poor result. It appears that when radial head fractures are associated with severe displacement, a high rate of fair and poor results can be expected, despite treatment by open reduction and temporary internal fixation. [References: 16]