ArticleJournal of children's orthopaedics2024
Comparison of elastic stable intramedullary nailing versus Kirschner wires in treatment of pediatric radial neck fractures.
Article in Journal of children's orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The role of elastic intramedullary nailing with or without Kirschner wire fixation in pediatric radial neck fractures: a retrospective cohort study.Frontiers in pediatrics · 2026Article
- Flexible intramedullary nailing versus Kirschner wire fixation in the treatment of paediatric radial neck fractures: a minimum 2-year follow-up study.Archives of orthopaedic and trauma surgery · 2025Article
- Faster healing of radial neck fractures in children treated with the Metaizeau technique compared with percutaneous Kirschner wire fixation: a population-based study.BMC musculoskeletal disorders · 2025Article
- Percutaneous leverage reduction with kirschner-wire fixation assisted by elbow arthrography for pediatric radial neck fractures.Frontiers in pediatrics · 2025Article
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Authors and funding
6 authors.
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Abstract
Purpose: The aim of the study was to compare the different internal fixations between elastic stable intramedullary nailing and Kirschner wires in treatment of angulated radial neck fractures. Methods: We retrospectively reviewed the patients with radial neck fracture without associated injuries who underwent surgery approach in our department during April 2011-March 2020. There were 62 patients meeting all the criteria with complete clinical data, with median age of 7.5 (IQR 5.8-9.5) years, 34 males and 28 females. The preoperative fracture pattern was assessed according to the Judet classification system. Depending on the materials implanted and fixation strategy, the patients could be divided into a Kirschner wire group and an elastic stable intramedullary nailing group. Final functional outcomes of patients were assessed by the Mayo Elbow Performance Score and Tibone-Stoltz functional evaluation classification. Results: The Kirschner wire group included 37 patients, with 4.8 years median follow-up. The elastic stable intramedullary nailing group included 25 patients with 5.9 years median follow-up. There were no significant differences in gender, age, Judet classification, average operative time, Mayo Elbow Performance Score, Tibone-Stoltz classification, or length of hospital stay between groups. However, the time to union in the Kirschner wire group was significantly shorter than that in the elastic stable intramedullary nailing group (p < 0.05). Both groups achieved satisfactory functional and cosmetic results. Conclusion: In the management of pediatric radial neck fractures, both elastic stable intramedullary nailing and Kirschner wire internal fixation have shown equivalent therapeutic results, leading to satisfactory functional outcomes. The selection of the internal fixation approach can be influenced by the patient's fracture characteristics and the surgeon's preferences. Level of evidence: Level III; Retrospective Comparison; Treatment Study.
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