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Wheeless' Textbook of Orthopaedics
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Management of radial neck fractures in children: a retrospective analysis ³


of one hundred patients. D'souza S. Vaishya R. Klenerman L. Journal of Pediatric Orthopaedics. 13(2):232-8, 1993 Mar-Apr. One hundred patients with radial neck fractures treated at the Royal Liverpool Children's Hospital, Alder Hey, were analyzed. Excellent and good results were obtained consistently after closed manipulation. Open Á reduction was often followed by a fair or poor result. Operative correction should not be attempted unless the radial head is displaced > 5 mm or unless residual angulation is > 45 degrees. Transcapitellar K-wire fixation has serious complications. Avascular necrosis (AVN), radial head enlargement, and notching of the radial neck were the most common complications. *



Original Text by Clifford R. Wheeless, III, MD.