Treatment of Displaced Radial Neck Combined With Olecranon Fractures

NCT ID: NCT04424498

Last Updated: 2020-06-11

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 31 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2019-06-01
• Study Completion Date: 2019-12-01

Brief Summary

This study aimed to evaluate the outcomes of using absorbable rods and Kirschner Wires technique for severe displaced radial neck fractures combined with olecranon fractures in children.

Detailed Description

The most common fracture in children is the elbow fracture, and the three most common elbow fractures are supracondylar, lateral condylar, and medial epicondylar fractures. Elbow fractures are easy to diagnose and the treatment modalities are studied often. However, proximal radius fractures, which include radial neck and head fractures, remain challenging to diagnose and manage. In addition, proximal radius fractures are often combined with other fractures, most commonly, an olecranon fracture. Most radial neck fractures can be treated conservatively if the displacement is less than 3 mm and the angle is less than 30º. However, for severe Judet type III and type IV radial neck fractures, surgery is inevitable.

This study focused on radial neck fractures combined with an olecranon fracture. In this study, absorbable rods were used for fixation of radial head fractures, and with no need for removal of the inner fixation, we performed anatomy reduction via the same incision with direct vision of the olecranon, and we were able to fix the fractures with Kirschner wires (K-wires). In this retrospective study, we aimed to evaluate a treatment method for severe displaced radial neck combined with olecranon fractures in children using a Boyd incision, absorbable rods, and K-wires.

Conditions

Child

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Interventions

Absorbable Rods and Kirschner Wires

A Boyd incision was applied in all patients; olecranon fractures were reduced first and fixed with Kirschner wires. Then, the displaced radial neck fractures were reduced and fixed using absorbable rods.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• open reduction of severe radial neck fractures combined with an olecranon fractures in the same elbow
• fixation performed using absorbable rods and K-wires

Exclusion Criteria

• single radial head fractures or single olecranon fractures
• fixation performed with bands
• old fractures,
• Boyd incision was not used,
• guardians did not agree with the surgery

• Minimum Eligible Age: 3 Years
• Maximum Eligible Age: 13 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Children's Hospital of Chongqing Medical University

OTHER

Sponsor Role: lead

Responsible Party

Yuxi Su

Vice professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Yuxi Su, M.D.

Role: PRINCIPAL_INVESTIGATOR

Children's hospital of Chongqing Medical Univeristy

Locations

Children's Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Countries

China

Other Identifiers

CQMU20200016

Identifier Type: -

Identifier Source: org_study_id