ArticleFrontiers in pediatrics2026
The role of elastic intramedullary nailing with or without Kirschner wire fixation in pediatric radial neck fractures: a retrospective cohort study.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To compare the clinical and functional outcomes of elastic intramedullary nailing (EN) alone vs. elastic intramedullary nailing combined with Kirschner wire fixation (EN + K) in the treatment of pediatric radial neck fractures. Methods: A retrospective cohort study was conducted including 52 pediatric patients with radial neck fractures treated between September 2013 and December 2024 at Wuhan Fourth Hospital. Patients were divided into two groups according to the surgical technique: EN group ( Results: There were no significant differences between the two groups in baseline characteristics, including age, sex, time from injury to surgery, Judet classification, or fracture angulation ( Conclusion: Elastic intramedullary nailing combined with Kirschner wire fixation provides superior fracture stability, promotes faster fracture union, and leads to better functional outcomes compared with elastic intramedullary nailing alone in pediatric radial neck fractures. Despite a longer operation time, the combined technique appears to be a safe and effective treatment option for this patient population.
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