Abstract

Fractures of the radial neck in children must be reduced when the angular displacement is superior to 30 degrees. Given that orthopaedic reduction is difficult, internal fixation using closed intramedullary pinning, as described by Métaizeau in 1980, seems to be an elegant solution which preserves the vascularisation of the physis. The authors report their experience with this technique, which has been used to treat fifteen patients, with a mean age of nine years, between 1983 and 1996. A plaster cast was worn for three weeks after operation and sound union was observed at six weeks. Full functional recovery was observed in all patients at six weeks. No complication was encountered and the pins were removed at three months.