P.S. ANDREYEV, I.V. TSOY, A.P. SKVORTSOV, R.V. TALALAYEV, O.N. AMAIRI

Republic Clinical Hospital, Kazan, Russia

Contact details:

Andreyev P.S. — PhD (medicine), Leading Researcher of the Scientific-Research Department

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, tel.: (843) 231-20-61, e-mail: rkb_nauka@rambler

In children’s traumatology, traumatic epiphysiolyses and osteoepiphysiolyses of the proximal part of radius are among the most widely spread traumas, constituting from 10,7% to 78% [1, 2]. The consequences of lesions of the proximal part of radius are chronic instability, heterotopic ossification (14,3%), early posttraumatic arthritis, contarctures, (62–82%) aseptic necroses of the radius head with trochlea defects, false joints, neuropathies (13%) of radial and cubital nerves, and elbow joint deformations [3, 4].

Material and metods. The authors analyzed treatment of 102 patients with fractures of the proximal part of radius in children and adolescents aged 4–17 treated at Children’s Traumatology and Orthopedic Department. 82 patients underwent closed or open reposition of fractures of the proximal part of radius under general anesthesia. 64 patients with angular deflection of 15 to 60 degrees underwent closed manual reposition of the fracture of the radius neck by N.P. Svinukhov technique. 12 patients with unstable fractures of the proximal part of radius with angular deflection of more than 60 degrees underwent author’s treatment technique. 8 patients underwent open reposition due to unsuccessful conservative treatment.

Key words: fractures of neck of radius, closed reposition, children and adolescents.

REFERENCES

1. Bukhny A.F. Povrezhdeniya epifizarnykh zon kostey u detey [Damage to the epiphyseal zones of bones in children]. Moscow: Meditsina, 1973.
2. Travmatologiya detskogo vozrasta, pod red. G.A. Bairova [Traumatology of childhood, ed. by G.A. Bairov]. Leningrad: Meditsina, 1976. Pp. 240–246.
3. Girshin S.G. Klinicheskie lektsii po neotlozhnoy travmatologii [Clinical Lectures on Emergency Traumatology]. Moscow: Izdatel’skiy dom «Azbuka», 2004. 544 p.
4. McKee M.D., Pugh D.M.W., Wild L.M. et al. Standard Surgical Protocol to Treat Elbow Dislocations with Radial Head and Coronoid Fractures. J. Bone Joint Surg. Am., 2005, vol. 87, suppl. 1, part 1, Mar., pp. 22–32.
5. Patent RF RU no. 2670086.
6. Ormantaev K.S., Markov R.F. Detskaya travmatologiya [Pediatric traumatology]. Alma-Ata, 1978. Pp. 85–120.
7. Svinukhov N.P. On the mechanism of injury and the technique of closed reduction of intra-articular fractures of the radial neck in children. Vestnik khirurgii im. I.I. Grekova, 1966, no. 4, pp. 129–135 (in Russ.).