• Users Online: 703
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2017  |  Volume : 52  |  Issue : 3  |  Page : 242-249

Modified Metaizeau technique for displaced radial neck fracture in adults

Department of Orthopedic Surgery, Mansoura University Hospital, Mansoura, Egypt

Correspondence Address:
Mohamed F Mostafa
Department of Orthopedic Surgery, Mansoura University Hospital, Mansoura, 35516
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eoj.eoj_66_17

Rights and Permissions

Background and purpose Few studies have been reported about closed treatment of the radial neck fractures in adults, which most often are found in children. A prospective study was conducted to evaluate the results of modified Metaizeau technique in the management of displaced radial neck fracture in adults. Patients and methods A total of 12 adults with displaced radial neck fractures were selected after excluding patients with combined neck and head fractures and patients younger than 16 years. After closed reduction, two or more K-wires were inserted from the midshaft of radius in a retrograde direction to stabilize the reduced head. The Mayo elbow performance score was used for final clinical assessment. A proposed scale by authors was used for radiological evaluation. Results Using the modified Masson classification, there were nine type IIb and three type IIIb fractures. After a mean follow-up of 38 months (range: 22–60 months), 10 patients were clinically rated excellent and two were good. Two patients had skin irritation and painful bursitis at the buried ends of K-wires; otherwise, no cases of superficial or deep infection, K-wire breakage or migration, and tendon or nerve injury were indicated. Asymptomatic nonunion was detected in two patients. According to the proposed radiological scale, six patients were excellent, four good, and two poor. Conclusion Closed manipulation and retrograde intramedullary pinning is a minimally invasive technique allowing stable fixation of displaced radial neck fractures in adults, with excellent to good outcomes and low complication rate.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded84    
    Comments [Add]    

Recommend this journal